Active NPI
Pamela Burns, DNP, MSN, RN
- Family Nurse Practitioner
- Bennettsville, SC
National Provider Identifier
1245656198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23182
- Practice address
- 711 S Parsonage St
Bennettsville, SC 29512-4423 - Phone
- (843) 479-6801
- Fax
- (843) 479-9658
- NPI assigned
- Mar 14, 2014
- Last updated
- Aug 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 61258 | SC | |
| Family Nurse Practitioner | 363LF0000X | 23182 | SC | Primary |
Addresses
Primary practice location
711 S Parsonage St
Bennettsville, SC 29512-4423
Mailing address
505 Crescent Dr
Hartsville, SC 29550-3542
Phone (843) 858-1397
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61258 | SC | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| State of South Carolina Comptroller General | Past | Accepting new patients | |
| State of South Carolina | Past | Accepting new patients |
Locations
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 3
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.
-
dba SC Dhec
- Public Health or Welfare Agency
- Bennettsville, SC
- NPI 1184793929
-
dba Veteran Village
- Skilled Nursing Facility
- Florence, SC
- NPI 1336994250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1245656198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 CRESCENT DR",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295503542",
"telephone_number": "843-858-1397",
"fax_number": "843-479-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S PARSONAGE ST",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "295124423",
"telephone_number": "843-479-6801",
"fax_number": "843-479-9658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "PAMELA",
"credential": "DNP, MSN, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-14",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "61258",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "23182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bennettsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.