Active NPI
Carol A Burney, RN
- Registered Nurse
- St Matthews, SC
National Provider Identifier
1225062003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 48099
- Practice address
- 112 Guess Lane
St Matthews, SC 29135 - Phone
- (803) 874-2301
- Fax
- (803) 655-5388
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 48099 | SC | Primary |
Addresses
Primary practice location
112 Guess Lane
St Matthews, SC 29135
Mailing address
2319 St Matthews Road
Orangeburg, SC 29118
Phone (803) 536-1571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48099 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225062003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2319 ST MATTHEWS ROAD",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "29118",
"telephone_number": "803-536-1571",
"fax_number": "803-536-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 GUESS LANE",
"city": "ST MATTHEWS",
"state": "SC",
"postal_code": "29135",
"telephone_number": "803-874-2301",
"fax_number": "803-655-5388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNEY",
"first_name": "CAROL",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "48099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Matthews, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.