Individual provider Active NPI

Nicole Joyner-Powell, DO

  • Family Medicine Physician
  • Yanceyville, NC
National Provider Identifier
1376072496
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LL40752 Issued in SC
Practice address
439 US Highway 158 W
Yanceyville, NC 27379-8304
Phone
(336) 694-9331
Fax
(336) 694-7511
NPI assigned
Jun 12, 2017
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL40752 SC Primary

Addresses

Primary practice location

439 US Highway 158 W
Yanceyville, NC 27379-8304

Mailing address

439 US Highway 158 W
Yanceyville, NC 27379-8304
Phone (336) 694-9331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181106003173 SC Practitioner - Family PracticePractitioner - Emergency Medicine 2567732027 Reassigns benefits to 4 organizations
I20231103000067 NC Practitioner - Family Practice 2567732027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw Family Medicine CurrentSince May 1, 2023 Accepting new patients
McLeod Health Clarendon Family Medicine CurrentSince May 1, 2023 Accepting new patients
Compassion Health Care Inc CurrentSince Oct 2, 2023 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine CurrentSince Jul 13, 2020 Accepting new patients
McLeod Health Cheraw CurrentSince May 1, 2023 Accepting new patients
McLeod Health Clarendon CurrentSince May 1, 2023 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 17, 2023 Accepting new patients
Compassion Health Care Inc CurrentSince Oct 2, 2023 Accepting new patients
McLeod Physician Associates II Family Medicine Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 13, 2020 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 17, 2023 Accepting new patients

Locations

439 US Highway 158 W
Yanceyville, NC 27379
Phone (336) 694-9331

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

964 Lochend Dr
Darlington, SC 29532
Phone (843) 393-7223

3015 W Palmetto St
Florence, SC 29501
Phone (843) 777-6870

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

Interoperability endpoints

  • Direct secure messaging: njoynerpowell25104@directmcleodehealth.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1376072496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 US HIGHWAY 158 W",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798304",
            "telephone_number": "336-694-9331",
            "fax_number": "336-694-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 US HIGHWAY 158 W",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798304",
            "telephone_number": "336-694-9331",
            "fax_number": "336-694-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER-POWELL",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL40752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yanceyville, NC

Sources for this page

Verify at the official NPI Registry.