Individual provider Active NPI

Carolyn Andrea Newton, NP

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1295761393
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
135 Issued in SC
Practice address
1711 Clements Ferry Rd Unit 112
Charleston, SC 29492-8717
Phone
(843) 606-7893
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 135 SC Primary

Addresses

Primary practice location

1711 Clements Ferry Rd Unit 112
Charleston, SC 29492-8717

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620

Other identifiers 1

IdentifierTypeStateIssuer
NP0768MedicaidSC

Other names 1

  • Carolyn Andrea Bryant Former name

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
I20150714002979 SC Practitioner - Nurse Practitioner 3577876911 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135SCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince May 18, 2015 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince May 18, 2015 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients

Locations

1 S Park Cir
Ste 400
Charleston, SC 29407
Phone (843) 789-1651

325 Folly Rd
Ste 101
Charleston, SC 29412
Phone (843) 501-9500

1711 Clements Ferry Rd
Unit 112
Charleston, SC 29492
Phone (843) 606-7893

21 Gamecock Ave
Ste D
Charleston, SC 29407
Phone (843) 763-7906

1477 Tobias Gadson Blvd
Charleston, SC 29407
Phone (843) 766-7696

4278 Ladson Rd
Ladson, SC 29456
Phone (843) 203-2240

3510 N Highway 17
Ste 110
Mt Pleasant, SC 29466
Phone (843) 402-1301

5070 International Blvd
Ste 131
North Charleston, SC 29418
Phone (843) 402-2995

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1295761393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CLEMENTS FERRY RD UNIT 112",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928717",
            "telephone_number": "843-606-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "CAROLYN",
        "middle_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0768",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "BRYANT",
            "middle_name": "ANDREA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.