Individual provider Active NPI

Clint Price, APRN

  • Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1144697384
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19671 Issued in SC
Practice address
2030 North Church Street
Lung and Chest Medical Associates
Spartanburg, SC 29303-3909
Phone
(864) 582-6858
NPI assigned
Aug 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19671 SC Primary

Addresses

Primary practice location

2030 North Church Street
Lung and Chest Medical Associates
Spartanburg, SC 29303-3909

Mailing address

101 Phifer Dr
Spartanburg, SC 29303-3909
Phone (864) 621-2234

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
I20151214000390 SC Practitioner - Nurse Practitioner 1456652676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2030 N Church PL
Spartanburg, SC 29303-2799

2030 N Church Place
Spartanburg, SC 29303-2799
Phone (864) 582-6858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raul B Cruz MD PA Current Accepting new patients
Lung and Chest Medical Associates, LLC CurrentSince Oct 6, 2015 Accepting new patients
Ikenna F. Onyebueke, MD PA Current Accepting new patients

Locations

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

2030 N Church Street Pl
Spartanburg, SC 29303
Phone (864) 582-5858

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABIBAA/Endpoint/ABIBAA

Organizations & group practices 3

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1144697384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PHIFER DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033909",
            "telephone_number": "864-621-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 NORTH CHURCH STREET",
            "address_2": "LUNG AND CHEST MEDICAL ASSOCIATES",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033909",
            "telephone_number": "864-582-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "CLINT",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "19671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.