Individual provider Active NPI

Donna C Sellers, FNP

  • Family Nurse Practitioner
  • Loris, SC
National Provider Identifier
1316267396
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4238 Issued in SC
Practice address
3109 Casey St
Suite a
Loris, SC 29569-2807
Phone
(843) 756-9292
Fax
(843) 756-9260
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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 4238 SC Primary

Addresses

Primary practice location

3109 Casey St
Suite a
Loris, SC 29569-2807

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7042

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
I20110810000514 SC Practitioner - Nurse Practitioner 9931378833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

603 N 6TH Ave
Dillon, SC 29536-2503
Phone (843) 774-7336

Hospital & facility affiliations

  • McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4238SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Jan 1, 2022 Accepting new patients
McLeod Physician Associates II Family Past Accepting new patients

Locations

603 N 6th Ave
Dillon, SC 29536
Phone (843) 774-7336

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

3109 Casey St
#A
Loris, SC 29569
Phone (843) 756-9292

Interoperability endpoints

  • Direct secure messaging: dsellers92394@directmcleodehealth.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1316267396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7042",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 CASEY ST",
            "address_2": "SUITE A",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692807",
            "telephone_number": "843-756-9292",
            "fax_number": "843-756-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "DONNA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "4238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loris, SC

Sources for this page

Verify at the official NPI Registry.