NPIMap

Individual provider Active NPI

Leanne Y Watkins, NP

  • Family Nurse Practitioner
  • Greenwood, SC
National Provider Identifier
1356546162
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3199 Issued in SC
Practice address
1350 Parkway
Greenwood, SC 29646-3860
Phone
(864) 330-1800
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 3199 SC
Family Nurse Practitioner 363LF0000X F3199 SC Primary

Addresses

Primary practice location

1350 Parkway
Greenwood, SC 29646-3860

Mailing address

PO Box 50087
Greenwood, SC 29649-0019
Phone (864) 330-1800

Other identifiers 2

IdentifierTypeStateIssuer
CK1161OtherSCMEDICARE RR
NP1121MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070801000558 SC Practitioner - Nurse Practitioner 4284725557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Consultants of Greenwood 2 clinicians
Carolina Health Centers Inc 30 clinicians

Practice addresses (Care Compare)

109 Lanier Wood Rd
Greenwood, SC 29649-9589
Phone (864) 344-4232

420 Epting Ave
Suite B
Greenwood, SC 29646-4040
Phone (864) 547-8250

Hospital & facility affiliations

  • Home Health Services of Self Regional Healthcare Home health agency, Greenwood, SC, CCN 427018
  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3199SCMDOccupational Therapy Assistant
F3199SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Consultants of Greenwood CurrentSince Nov 4, 2017 Accepting new patients
Carolina Health Centers, Inc. Current Accepting new patients
Carolina Health Centers, Inc. CurrentSince Apr 2, 2017 Accepting new patients
Carolina Health Centers, Inc. CurrentSince Apr 2, 2017 Accepting new patients
Carolina Health Centers, Inc. Past Accepting new patients
Carolina Health Centers, Inc. Past Accepting new patients

Locations

1530 Parkway
Greenwood, SC 29646
Phone (864) 330-1666

313 Main St
#A
Greenwood, SC 29646
Phone (864) 229-4446

313 Main St
#B
Greenwood, SC 29646

420 Epting Ave
#B
Greenwood, SC 29646
Phone (864) 547-8250

313 Main St
Ste B
Greenwood, SC 29646
Phone (864) 229-4446

Interoperability endpoints

  • Direct secure messaging: lwatkins272339@direct.ochin.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1356546162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50087",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296490019",
            "telephone_number": "864-330-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 PARKWAY",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-330-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "LEANNE",
        "middle_name": "Y",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "SC",
            "license": "3199",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F3199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CK1161",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1121",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.