Tammy L Medlin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20432 Issued in SC

Practice address

75 Baylor Dr Ste 155
Bluffton, SC 29910-8965

Phone

(843) 706-2523

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Tammy L Hostetler Former name

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Hilton Head Regional Physician Group LLCGroup PAC ID 9234573676, 114 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
• Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
• Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
• Candler Hospital Hospital, Savannah, GA, CCN 110024

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tammy.medlin.1@30548.direct.athenahealth.com
• Direct secure messaging: tammy.medlin.p208@direct.tenet.nextgenshare.com

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.

• Hilton Head Regional Physician Group LLC

  • Internal Medicine Physician
  • Bluffton, SC
  • NPI 1548021694
  Medicare reassignment Care Compare group NPD
• Hilton Head Regional Physician Group LLC

  • Surgery Physician
  • Bluffton, SC
  • NPI 1295596708
  NPD
• Hardeeville Medical Group, LLC

  • Gastroenterology Physician
  • Hardeeville, SC
  • NPI 1871870170
  NPD (past)
• Hilton Head Heart PA

  • Cardiovascular Disease Physician
  • Hilton Head, SC
  • NPI 1982655379
  NPD (past)
• SJC Medical Group Inc

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1811233828
  NPD (past)

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

• Beaufort County Memorial Hospital

  • General Acute Care Hospital
  • Beaufort, SC
  • NPI 1366436073
  Care Compare affiliation
• Hilton Head Medical Center LLC

  • General Acute Care Hospital
  • Hilton Head Island, SC
  • NPI 1902675101
  Care Compare affiliation
• South Carolina Coastal Medical Center LLC

  • General Acute Care Hospital
  • Hardeeville, SC
  • NPI 1205605409
  Care Compare affiliation
• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  Care Compare affiliation

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1346371663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MEDICAL CENTER DR # 200",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299273447",
            "telephone_number": "843-645-8220",
            "fax_number": "843-645-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BAYLOR DR STE 155",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108965",
            "telephone_number": "843-706-2523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Medical Center Dr # 200",
            "address_purpose": "LOCATION",
            "city": "Hardeeville",
            "state": "SC",
            "postal_code": "299273447",
            "country_code": "US",
            "telephone_number": "843-645-8220",
            "fax_number": "843-645-8221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Towne Center Blvd Ste 604A",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224052",
            "country_code": "US",
            "telephone_number": "912-450-4450",
            "fax_number": "912-450-4458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "TAMMY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN112985",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN112985NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "112985",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "511I500096",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106275669B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "HOSTETLER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Me Pivot Holdings,LLC
• Medical Consultants of the Lowcountry LLC
• Medical University of South Carolina
• Diana Medina
• Amanda Bobb Medlin, PA
• Melissa Connell, DDS
• Rodger L Melton, NP
• Memorial Careone Home Health Services Inc
• Catherine Mengel
• Mental Health America-Beaufort/Jasper

• Family Nurse Practitioner in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.

Verify at the official NPI Registry.