Individual provider Active NPI

Marianne M Hagood, APRN

  • Family Nurse Practitioner
  • Beaufort, SC
National Provider Identifier
1346645389
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22013 Issued in SC
Practice address
Beaufort Memorial Express Care & Occupational Health
974 Ribaut Road
Beaufort, SC 29902-5486
Phone
(843) 524-3344
Fax
(843) 524-5574
NPI assigned
Nov 4, 2014
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172154 VA
Family Nurse Practitioner 363LF0000X 22013 SC Primary

Addresses

Primary practice location

Beaufort Memorial Express Care & Occupational Health
974 Ribaut Road
Beaufort, SC 29902-5486

Mailing address

955 Ribaut Rd
Bmac Credentialing Department
Beaufort, SC 29902-5441
Phone (843) 522-5674

Other identifiers 1

IdentifierTypeStateIssuer
22013OtherSCSTATE LICENSE NUMBER

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
I20190212001231 SC Practitioner - Nurse Practitioner 3072836923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
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
Beaufort County Memorial HospitalGroup PAC ID 7810809365, shared by 11 NPIs, 197 clinicians

Practice addresses (Care Compare)

18 Professional Village Cir
Beaufort, SC 29907-1570
Phone (843) 986-9670

300 Midtown Dr
Beaufort, SC 29906-5200
Phone (843) 770-0404

989 Ribaut Rd
Suite 260
Beaufort, SC 29902-5499
Phone (843) 522-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Sep 2, 2018 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Sep 2, 2018 Accepting new patients
Beaufort County Memorial Hospital Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Sep 2, 2018 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

955 Ribaut Rd
#C
Beaufort, SC 29902

974 Ribaut Rd
Beaufort, SC 29902
Phone (843) 524-3344

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

989 Ribaut Rd
Ste 260
Beaufort, SC 29902
Phone (843) 522-7600

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Interoperability endpoints

  • Direct secure messaging: marianne.hagood.1@16436.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1346645389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "address_2": "BMAC CREDENTIALING DEPARTMENT",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5674",
            "fax_number": "843-522-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUFORT MEMORIAL EXPRESS CARE & OCCUPATIONAL HEALTH",
            "address_2": "974 RIBAUT ROAD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025486",
            "telephone_number": "843-524-3344",
            "fax_number": "843-524-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOOD",
        "first_name": "MARIANNE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172154",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "22013",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.