Individual provider Active NPI

Caitlin Marie McCarroll, DNP, FNP-BC

  • Family Nurse Practitioner
  • Greenwood, SC
National Provider Identifier
1174048466
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21212 Issued in SC
Practice address
1325 Spring St
Greenwood, SC 29646-3860
Phone
(864) 725-4150
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21212 SC Primary

Addresses

Primary practice location

1325 Spring St
Greenwood, SC 29646-3860

Mailing address

408 W Alexander Ave
Greenwood, SC 29646-4031
Phone (864) 227-9393

Other practice location 1

1 Richland Medical Park Dr Ste 100
Columbia, SC 29203-6834
Phone (803) 434-6095

Other identifiers 1

IdentifierTypeStateIssuer
NP4937MedicaidSC

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
I20171106003118 SC Practitioner - Nurse Practitioner 4789940800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1 Richland Medical Park Dr
Suite 100
Columbia, SC 29203-6834
Phone (803) 434-2020

Hospital & facility affiliations

  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21212SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince May 16, 2022 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince May 16, 2022 Accepting new patients

Locations

1 Richland Medical Park Dr
Ste 100
Columbia, SC 29203
Phone (803) 434-6095

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097

1 Richland Medical Park Dr
Ste 210
Columbia, SC 29203
Phone (803) 434-2020

Interoperability endpoints

  • Direct secure messaging: cmccarroll190283@selfregional.direct-ci.net
  • Direct secure messaging: cmccarroll577071@direct.ghs.myhfn.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1174048466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W ALEXANDER AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464031",
            "telephone_number": "864-227-9393",
            "fax_number": "864-227-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Richland Medical Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036834",
            "country_code": "US",
            "telephone_number": "803-434-6095",
            "fax_number": "803-758-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARROLL",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4937",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.