Active NPI
Pathway
- Psychiatric/Mental Health Nurse Practitioner
- Simpsonville, SC
National Provider Identifier
1306517628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PATHWAY
- Practice address
- 2607 Woodruff Rd # 1215
Simpsonville, SC 29681-4803 - Phone
- (864) 743-0060
- Fax
- (864) 743-0061
- NPI assigned
- Sep 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Banke
- Title
- Provider
- Phone
- (864) 743-0060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2607 Woodruff Rd # 1215
Simpsonville, SC 29681-4803
Mailing address
2607 Woodruff Rd # 1215
Simpsonville, SC 29681-4803
Phone (864) 743-0060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211206001966 | SC | Part B Supplier - Clinic/Group Practice | 6002206075 |
Receives reassigned benefits from 1 practitioner Practice locations: Greer, SC |
National Provider Directory
National Provider DirectoryLocations
2607 Woodruff Rd
#1215
Simpsonville, SC 29681
Phone (864) 743-0060
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Simpsonville, SC
- NPI 1144851742
SC
-
- Professional Counselor
- Simpsonville, SC
- NPI 1518886571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1306517628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 WOODRUFF RD # 1215",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814803",
"telephone_number": "864-743-0060",
"fax_number": "864-743-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 WOODRUFF RD # 1215",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814803",
"telephone_number": "864-743-0060",
"fax_number": "864-743-0061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAY",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-27",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "BANKE",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "864-743-0060"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.