NPIMap

Individual provider Active NPI

Mikayla Shanta Dunlap Parks, FNP-C

  • Family Nurse Practitioner
  • Greenwood, SC
National Provider Identifier
1194567552
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28846 Issued in SC
Practice address
313 Main St Ste a
Greenwood, SC 29646-2757
Phone
(864) 229-4446
NPI assigned
Jun 7, 2024
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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 28846 SC Primary

Addresses

Primary practice location

313 Main St Ste a
Greenwood, SC 29646-2757

Mailing address

313 Main St Ste a
Greenwood, SC 29646-2757
Phone (864) 229-4446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806001573 SC Practitioner - Nurse Practitioner 1850838046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Health Centers IncGroup PAC ID 5496707804, 30 clinicians

Practice addresses (Care Compare)

313 Main St
A
Greenwood, SC 29646-2757
Phone (864) 229-4446

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Health Centers, Inc. Current Accepting new patients
Carolina Health Centers, Inc. Current Accepting new patients
Carolina Health Centers, Inc. Current Accepting new patients
Carolina Health Centers, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Carolina Health Centers, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Carolina Health Centers, Inc. Current Accepting new patients

Locations

535 Jackson St
Calhoun Falls, SC 29628
Phone (864) 418-8578

313 Main St
#A
Greenwood, SC 29646
Phone (864) 229-4446

313 Main St
#B
Greenwood, SC 29646

313 Main St
Ste A
Greenwood, SC 29646
Phone (864) 229-4446

313 Main St
Ste B
Greenwood, SC 29646
Phone (864) 229-4446

1319 S Main St
Mc Cormick, SC 29835
Phone (864) 852-3336

219 Greenwood Hwy
Saluda, SC 29138
Phone (864) 445-2181

93 S Greenwood Ave
Ware Shoals, SC 29692
Phone (864) 456-7436

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1194567552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MAIN ST STE A",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462757",
            "telephone_number": "864-229-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN ST STE A",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462757",
            "telephone_number": "864-229-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "MIKAYLA",
        "middle_name": "SHANTA DUNLAP",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.