Individual provider Active NPI

Michelle Gilchrist, FNP

  • Family Nurse Practitioner
  • Laurinburg, NC
National Provider Identifier
1184117459
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05180325 Issued in SC
Practice address
1405 West Blvd
Laurinburg, NC 28352-9170
Phone
(910) 277-2440
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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 F05180325 SC Primary

Addresses

Primary practice location

1405 West Blvd
Laurinburg, NC 28352-9170

Mailing address

549 Rosewood Dr
Dillon, SC 29536-7423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190227000300 NC Practitioner - Nurse Practitioner 2860731411 Reassigns benefits to 1 organization
I20220916001492 SC Practitioner - Nurse Practitioner 2860731411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians

Practice addresses (Care Compare)

501 Radford Blvd
Dillon, SC 29536-5001
Phone (803) 272-0702

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21957SCMDNephrology Physician
F05180325SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland County EMS CurrentSince Apr 4, 2020 Accepting new patients
Scotland County CurrentSince Apr 4, 2020 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Jun 15, 2022 Accepting new patients
Scotland County Past Accepting new patients

Locations

1405 West Blvd
Laurinburg, NC 28352
Phone (910) 277-2440

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

501 Radford Blvd
Dillon, SC 29536
Phone (803) 272-0702

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1184117459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 ROSEWOOD DR",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295367423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WEST BLVD",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283529170",
            "telephone_number": "910-277-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCHRIST",
        "first_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F05180325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.