Individual provider Active NPI

Mary Elizabeth Durant, WHNP

  • Advanced Practice Midwife
  • Beaufort, SC
National Provider Identifier
1285741249
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4156 Issued in SC
Practice address
1264 Ribaut Rd
Building 200
Beaufort, SC 29902-6123
Phone
(843) 824-5455
Fax
(843) 524-5655
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4156 SC Primary
Women's Health Nurse Practitioner 363LW0102X 40279 WV

Addresses

Primary practice location

1264 Ribaut Rd
Building 200
Beaufort, SC 29902-6123

Mailing address

1264 Ribaut Rd
Building 200
Beaufort, SC 29902-6123
Phone (843) 524-5455

Other practice location 1

1520 Grays Hwy
Ridgeland, SC 29936-5440
Phone (943) 726-3979

Other practice location 2

200 Elm St E
Hampton, SC 29924-3430
Phone (803) 943-2233

Other practice location 3

719 Okatie Hwy # 170
Okatie, SC 29909-3963
Phone (843) 987-7400

Other practice location 4

1320 Ribaut Rd
Port Royal, SC 29935-1118
Phone (843) 986-0900

Other identifiers 2

IdentifierTypeStateIssuer
4156OtherSCSTATE LICENSE
7101240000MedicaidWV

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120918000689 SC Practitioner - Certified Nurse Midwife (CNM) 9830247485 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40279WVMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Jan 1, 2016 Accepting new patients

Locations

200 Elm St E
Hampton, SC 29924
Phone (803) 943-2233

721 Okatie Hwy
Okatie, SC 29909

719 Okatie Hwy
Okatie, SC 29909
Phone (843) 987-7408

1320 Ribaut Rd
Port Royal, SC 29935
Phone (843) 322-1833

1520 Grays Hwy
Ridgeland, SC 29936
Phone (843) 726-3979

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1285741249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 RIBAUT RD",
            "address_2": "BUILDING 200",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026123",
            "telephone_number": "843-524-5455",
            "fax_number": "843-524-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 RIBAUT RD",
            "address_2": "BUILDING 200",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026123",
            "telephone_number": "843-824-5455",
            "fax_number": "843-524-5655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Grays Hwy",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "SC",
            "postal_code": "299365440",
            "country_code": "US",
            "telephone_number": "943-726-3979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Elm St E",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "SC",
            "postal_code": "299243430",
            "country_code": "US",
            "telephone_number": "803-943-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 Okatie Hwy # 170",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299093963",
            "country_code": "US",
            "telephone_number": "843-987-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Ribaut Rd",
            "address_purpose": "LOCATION",
            "city": "Port Royal",
            "state": "SC",
            "postal_code": "299351118",
            "country_code": "US",
            "telephone_number": "843-986-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURANT",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "4156",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WV",
            "license": "40279",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4156",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101240000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.