Cheryl Renee Gibson-Dalton, PRESIDENT AND CEO

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

RC1447 Issued in SC

Practice address

1231 Eutaw St
Orangeburg, SC 29115-3529

Phone

(803) 531-6534

Fax

(803) 531-6534

NPI assigned

Mar 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426982400000",
    "number": "1346634904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 EUTAW ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291153529",
            "telephone_number": "803-531-6534",
            "fax_number": "803-531-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 EUTAW ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291153529",
            "telephone_number": "803-531-6534",
            "fax_number": "803-531-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON-DALTON",
        "first_name": "CHERYL",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PRESIDENT AND CEO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-22",
        "last_updated": "2015-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "SC",
            "license": "RC1447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OSS",
            "identifier": "CRC1447",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura A Gearheart, MA CCC SLP
• Marie Louise Gehling, NP-C
• George E Castro (Carolina Heart Center)
• Sonya R George, D.C.
• Matthew I Gibbs
• Hope H Gibson, APRN
• Kendall Maree Gibson, MA
• David W Gillespie, MD
• Melissa Monique Gillespie
• Tracy A. Gilliard, DNP

• Adult Care Home Facility in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Adult Care Home Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2015; 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.