NPIMap

Individual provider Active NPI

Crystal Marie McGuire, FNP

  • Family Nurse Practitioner
  • Bamberg, SC
National Provider Identifier
1255082368
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25710 Issued in SC
Practice address
2113 Main Hwy
Bamberg, SC 29003-2705
Phone
(803) 245-5168
Fax
(803) 245-6275
NPI assigned
Jan 11, 2022
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 25710 SC Primary

Addresses

Primary practice location

2113 Main Hwy
Bamberg, SC 29003-2705

Mailing address

PO Box 120
Bamberg, SC 29003-0120
Phone (803) 245-5168

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
I20220511000113 SC Practitioner - Nurse Practitioner 7517344609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
F. Marion Dwight, MD,PAGroup PAC ID 7214907922, 7 clinicians

Practice addresses (Care Compare)

2113 Main Hwy
Bamberg, SC 29003-2705
Phone 8032455168117

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
F. Marion Dwight, MD,PA CurrentSince Mar 29, 2022 Accepting new patients
F Marion Dwight MD PA PastSince Jan 21, 2022 Accepting new patients

Locations

2113 Main Hwy
Bamberg, SC 29003
Phone (803) 245-5168

Organizations & group practices 2

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 9

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1255082368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290030120",
            "telephone_number": "803-245-5168",
            "fax_number": "803-245-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 MAIN HWY",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290032705",
            "telephone_number": "803-245-5168",
            "fax_number": "803-245-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bamberg, SC

Sources for this page

Verify at the official NPI Registry.