Individual provider Active NPI

Tamatha M Huneycutt, NNP

  • Neonatal Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1114292521
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
17791 Issued in SC
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

Updated by the provider on Feb 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NP2036MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000099 SC Practitioner - Nurse Practitioner 5799949434 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17791SCMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Oct 6, 2023 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2025 Accepting new patients
Musc Community Physicians Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 1, 2017 Accepting new patients
Musc Community Physicians CurrentSince Oct 6, 2023 Accepting new patients
Roper St. Francis Specialty Physicians CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 1, 2017 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince May 4, 2012 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Carolina Family Care, Inc Past Accepting new patients
Coastal Pediatric Associates, P.a. PastSince Apr 1, 2021 Accepting new patients

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

  • Direct secure messaging: thuneycutt29578@direct.musc.edu
  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.