Individual provider Active NPI

Karen Elaine Clyburn, APRN

  • Family Nurse Practitioner
  • MC Bee, SC
National Provider Identifier
1215181789
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3637 Issued in SC
Practice address
645 S Seventh St
MC Bee, SC 29101-7101
Phone
(843) 335-8291
Fax
(843) 335-8731
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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 3637 SC Primary

Addresses

Primary practice location

645 S Seventh St
MC Bee, SC 29101-7101

Mailing address

40 Baldwin Ave
Lugoff, SC 29078-9406
Phone (803) 408-3262

Other identifiers 2

IdentifierTypeStateIssuer
3637OtherSCLIC
363LF0000XOtherSCTAXONOMY

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
I20101111000612 SC Practitioner - Nurse Practitioner 3577758903 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandhills Medical Foundation, Inc.Group PAC ID 8224949821, shared by 10 NPIs, 26 clinicians

Practice addresses (Care Compare)

103 Main St N
BLDG N
Bethune, SC 29009-9750
Phone (843) 334-7145

126 N Pearl St
Pageland, SC 29728-1925
Phone (843) 675-5004

40 Baldwin Ave
Lugoff, SC 29078-9406
Phone (803) 408-3262

Hospital & facility affiliations

  • Amedisys Home Health of Camden Home health agency, Camden, SC, CCN 427036
  • Kershawhealth Hospital, Camden, SC, CCN 420048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3637SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Aug 18, 2022 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Mar 27, 2014 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Mar 27, 2014 Accepting new patients
Sandhills Medical Foundation, Inc. Past Accepting new patients
Sandhills Medical Foundation Past Accepting new patients

Locations

103 Main St N
Bethune, SC 29009
Phone (843) 334-6551

103 Main St N
Bldg N
Bethune, SC 29009
Phone (843) 334-7145

2611 Liberty Hill Rd
Camden, SC 29020
Phone (803) 432-3447

409 E Church St
Jefferson, SC 29718
Phone (843) 658-3005

205 W Marion St
Kershaw, SC 29067
Phone (803) 475-4701

40 Baldwin Ave
Lugoff, SC 29078
Phone (803) 408-3262

645 S Seventh St
Mc Bee, SC 29101
Phone (803) 475-4701

727 S Seventh St
Mc Bee, SC 29101
Phone (843) 335-8291

126 N Pearl St
Pageland, SC 29728
Phone (843) 675-5004

30 Cuttino Rd
Sumter, SC 29150
Phone (803) 778-2442

Interoperability endpoints

  • Direct secure messaging: karenclyburn@smf.allscriptsdirect.net

Organizations & group practices 10

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": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1215181789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BALDWIN AVE",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789406",
            "telephone_number": "803-408-3262",
            "fax_number": "803-408-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S SEVENTH ST",
            "city": "MC BEE",
            "state": "SC",
            "postal_code": "291017101",
            "telephone_number": "843-335-8291",
            "fax_number": "843-335-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYBURN",
        "first_name": "KAREN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "3637",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "363LF0000X",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Bee, SC

Sources for this page

Verify at the official NPI Registry.