Individual provider Active NPI

Courtney Mintz Hillen, CNM

  • Advanced Practice Midwife
  • Batesburg Leesville, SC
National Provider Identifier
1144485012
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
2580 Issued in SC
Practice address
338 E Columbia Ave Ste B
Batesburg Leesville, SC 29070-9285
Phone
(803) 532-1580
Fax
(803) 532-3832
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 2580 SC Primary

Addresses

Primary practice location

338 E Columbia Ave Ste B
Batesburg Leesville, SC 29070-9285

Mailing address

169 Laurelhurst Ave
Columbia, SC 29210-3825
Phone (803) 733-5969

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102001953 SC Practitioner - Certified Nurse Midwife (CNM) 8325575350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
2580SCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Oct 20, 2024 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Oct 20, 2024 Accepting new patients
Sandhills OBGYN Associates, P.a. Current Accepting new patients
Coastal Fertility Center Past Accepting new patients

Locations

120 W Church St
Batesburg Leesville, SC 29006
Phone (803) 532-2208

169 Laurelhurst Ave
Columbia, SC 29210
Phone (803) 730-0742

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

338 E Columbia Ave
#B
Leesville, SC 29070
Phone (803) 532-1580

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1144485012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 LAURELHURST AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103825",
            "telephone_number": "803-733-5969",
            "fax_number": "803-753-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 E COLUMBIA AVE STE B",
            "city": "BATESBURG LEESVILLE",
            "state": "SC",
            "postal_code": "290709285",
            "telephone_number": "803-532-1580",
            "fax_number": "803-532-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEN",
        "first_name": "COURTNEY",
        "middle_name": "MINTZ",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "2580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesburg Leesville, SC

Sources for this page

Verify at the official NPI Registry.