Active NPI
Suzanne Herta Gubitosa, AGPCNP-BC
- Family Nurse Practitioner
- Greenville, SC
National Provider Identifier
1295219699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22112
- Practice address
- 3372 Laurens Rd
Greenville, SC 29607-5236 - Phone
- (609) 585-0309
- NPI assigned
- Sep 20, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 22112 | SC | |
| Family Nurse Practitioner | 363LF0000X | 22112 | SC | Primary |
Addresses
Primary practice location
3372 Laurens Rd
Greenville, SC 29607-5236
Mailing address
PO Box 7411009
Chicago, IL 60674-3009
Phone (609) 585-1122
Other practice location 1
4741 Highway 153 Ste B
Easley, SC 29642-9161
Phone (888) 506-8885
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181211002527 | SC | Practitioner - Nurse Practitioner | 5890039200 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4741 Hwy 153
Suite B
Easley, SC 29642-9161
Phone 8648872600918414
Hospital & facility affiliations
- Interim Healthcare of the Upstate
- Prisma Health Greenville Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22112 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PH Health Care Services Inc | Current | Accepting new patients | |
| PH Healthcare Services, Inc. | Current | Accepting new patients |
Locations
3079 Highway 701 N
Ste E
Conway, SC 29526
Phone (843) 779-9505
54 Bear Dr
Greenville, SC 29605
Phone (864) 991-8414
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Easley, SC
- NPI 1134491616
Hospital & facility affiliations 40
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greenville, SC
- NPI 1750897609
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1295219699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7411009",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606743009",
"telephone_number": "609-585-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3372 LAURENS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075236",
"telephone_number": "609-585-0309"
}
],
"practiceLocations": [
{
"address_1": "4741 Highway 153 Ste B",
"address_purpose": "LOCATION",
"city": "Easley",
"state": "SC",
"postal_code": "296429161",
"country_code": "US",
"telephone_number": "888-506-8885",
"fax_number": "888-506-8885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUBITOSA",
"first_name": "SUZANNE",
"middle_name": "HERTA",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "SC",
"license": "22112",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "22112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.