Individual provider Active NPI

Bary Kemble, FNP

  • Family Nurse Practitioner
  • Pawleys Island, SC
National Provider Identifier
1356032072
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27374 Issued in SC
Practice address
113 Willbrook Blvd Unit F
Pawleys Island, SC 29585-8245
Phone
(843) 353-6015
Fax
(843) 594-5149
NPI assigned
May 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 27374 SC
Family Nurse Practitioner 363LF0000X 27374 SC Primary

Addresses

Primary practice location

113 Willbrook Blvd Unit F
Pawleys Island, SC 29585-8245

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 572-7727

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
I20230616000884 SC Practitioner - Nurse Practitioner 9830557248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palmetto Primary Care Physicians LLCGroup PAC ID 4880508068, 148 clinicians

Practice addresses (Care Compare)

113 Willbrook Blvd
Unit F
Pawleys Island, SC 29585-8245
Phone (843) 353-6015

Hospital & facility affiliations

  • NHC Homecare Murrells Inlet Home health agency, Murrells Inlet, SC, CCN 427124
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27374SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 5, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 5, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

1001 N Fraser St
Georgetown, SC 29440
Phone (843) 527-4447

912 Inlet Square Dr
Murrells Inlt, SC 29576
Phone (843) 347-3334

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

113 Willbrook Blvd
Unit F
Pawleys Island, SC 29585
Phone (843) 353-6015

Interoperability endpoints

  • Direct secure messaging: bary.kemble@ppcp1.eclinicaldirectplus.com

Organizations & group practices 5

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 4

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1356032072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-572-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WILLBROOK BLVD UNIT F",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858245",
            "telephone_number": "843-353-6015",
            "fax_number": "843-594-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMBLE",
        "first_name": "BARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "27374",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawleys Island, SC

Sources for this page

Verify at the official NPI Registry.