Carlin Willett, DNP, APRN, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21306 Issued in SC

Practice address

5B Owens LN
Mauldin, SC 29662-2635

Phone

(864) 288-4765

Fax

(864) 288-1122

NPI assigned

Sep 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• David P Willett M.D.

  • Family Medicine Physician
  • Mauldin, SC
  • NPI 1023223534
  NPD (past)

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295254563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5B OWENS LN",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622635",
            "telephone_number": "864-288-4765",
            "fax_number": "864-288-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5B OWENS LN",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622635",
            "telephone_number": "864-288-4765",
            "fax_number": "864-288-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "CARLIN",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchel Lee Wess, O.D.
• Rebekah Dianne Degarmo White
• Whole Soul Counsel
• Lisa Wight
• Willbrun Premium Shuttle Service LLC
• David P. Willett, MD,PA
• Latonya L Williams
• Rayvnn Williams
• Shannon Leverette Williamson, P.H.D.
• Jennifer Wise

• Family Medicine Physician in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.