Active NPI
Tamatha M Huneycutt, NNP
- Neonatal Nurse Practitioner
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 17791
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-8908 - Phone
- (843) 792-1414
- NPI assigned
- Mar 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 17791 | SC | Primary |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other practice location 1
316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 402-1638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2036 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17791 | SC | MD | Neonatal Nurse Practitioner |
Practice roles
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
2051 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 573-2535
10 McClennan Banks Dr
Charleston, SC 29401
Phone (843) 330-9824
2067 Charlie Hall Blvd
Charleston, SC 29414
Phone 8435732535 ext. 3215
120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
1952 Long Grove Dr
Ste 202
Mt Pleasant, SC 29464
Phone (843) 573-2535
1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
2015 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 573-2535
Interoperability endpoints
- thuneycutt29578@direct.musc.edu
- tamatha.huneycutt.1@1152.direct.athenahealth.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Surgery Physician
- Ladson, SC
- NPI 1528945912
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Pediatrics Physician
- Charleston, SC
- NPI 1003846783
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Neonatal-Perinatal Medicine Physician
- Charlestons, SC
- NPI 1386885457
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
-
- Pediatrics Physician
- Charleston, SC
- NPI 1750318101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1114292521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258908",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [
{
"address_1": "316 Calhoun St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294011113",
"country_code": "US",
"telephone_number": "843-402-1638",
"fax_number": "843-724-2455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNEYCUTT",
"first_name": "TAMATHA",
"middle_name": "M",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "SC",
"license": "17791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2036",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.