Christy Clemenz Dunbar, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

686 Issued in SC

Practice address

608 East Columbia Ave
Leesville, SC 29070

Phone

(803) 532-8155

Fax

(803) 532-9685

NPI assigned

Sep 20, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Med First Immediate Care & Family Practice, PA

  • Family Medicine Physician
  • Jacksonville, NC
  • NPI 1053503763

  SC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1366437907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E COLUMBIA AVE",
            "address_2": "PO BOX 3608",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290707318",
            "telephone_number": "803-532-8155",
            "fax_number": "803-532-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 EAST COLUMBIA AVE",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "29070",
            "telephone_number": "803-532-8155",
            "fax_number": "803-532-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "CHRISTY",
        "middle_name": "CLEMENZ",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN 686",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Carver, O.D.
• Megan McKenzie Cobb, COTA-L
• Heidi Riley Cochran, APRN
• Johnathan Drafts, PHARM D
• Breanna Drake, APRN
• CP Dunbar, MD
• Eau Claire Cooperative Health Center ,Inc.
• Eau Claire Coopertive Health Center, Inc.
• Focus Eye Care Center, PC
• Kathryn Forsyth, RN MSN CCM

• Family Medicine Physician in Leesville, SC
• Providers in Leesville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.