Individual provider Active NPI

Donna Gail Cain

  • Family Nurse Practitioner
  • Bennettsville, SC
National Provider Identifier
1275646358
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN936 Issued in SC
Practice address
957 Cheraw St
Bennettsville, SC 29512-2420
Phone
(843) 454-0245
Fax
(843) 479-7873
NPI assigned
Aug 16, 2006
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 APN936 SC Primary

Addresses

Primary practice location

957 Cheraw St
Bennettsville, SC 29512-2420

Mailing address

PO Box 2257
Laurinburg, NC 28353-2257

Other identifiers 1

IdentifierTypeStateIssuer
NP0124MedicaidSC

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
I20040628001012 SC Practitioner - Nurse Practitioner 4486630654 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11388SCMDFamily Medicine Physician
APN936SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince May 1, 2015 Accepting new patients
Scotland Memorial Hospital, Inc. CurrentSince May 1, 2015 Accepting new patients
Scotland Memorial Hospital Inc Current Accepting new patients

Locations

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357

957 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-0245

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1275646358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283532257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 CHERAW ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122420",
            "telephone_number": "843-454-0245",
            "fax_number": "843-479-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "DONNA",
        "middle_name": "GAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0124",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennettsville, SC

Sources for this page

Verify at the official NPI Registry.