Active NPI
Geraldine Katrina Smalls
- Family Nurse Practitioner
- Easley, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27226
- Practice address
- Onsite Healthcare & Wellness, LLC
105 Franklin Square Way Ste a.
Easley, SC 29642-3715 - Phone
- (864) 442-4110
- Fax
- (864) 442-4126
- NPI assigned
- Aug 8, 2014
- Last updated
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 27226 | SC | |
| Family Nurse Practitioner | 363LF0000X | 27226 | SC | Primary |
| Registered Nurse | 163W00000X | 104862 | SC |
Addresses
Primary practice location
Onsite Healthcare & Wellness, LLC
105 Franklin Square Way Ste a.
Easley, SC 29642-3715
Mailing address
105 Franklin Square Way Ste a
Easley, SC 29642-3715
Phone (864) 442-4110
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2510 N Kings Hwy
Myrtle Beach, SC 29577-3037
Phone (843) 626-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104862 | SC | MD | Registered Nurse |
| 27226 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Carenow Urgent Care, LLC | Current | Accepting new patients | |
| Beach Urgent Care | Current | Accepting new patients |
Locations
515 Saint James Ave
Goose Creek, SC 29445
Phone (843) 507-8925
2510 N Kings Hwy
Myrtle Beach, SC 29577
Phone (843) 626-2273
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
- Urgent Care Clinic/Center
- Myrtle Beach, SC
- NPI 1457580474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1376952861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 FRANKLIN SQUARE WAY STE A",
"city": "EASLEY",
"state": "SC",
"postal_code": "296423715",
"telephone_number": "864-442-4110",
"fax_number": "864-442-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONSITE HEALTHCARE & WELLNESS, LLC",
"address_2": "105 FRANKLIN SQUARE WAY STE A.",
"city": "EASLEY",
"state": "SC",
"postal_code": "296423715",
"telephone_number": "864-442-4110",
"fax_number": "864-442-4126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLS",
"first_name": "GERALDINE",
"middle_name": "KATRINA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-08",
"last_updated": "2023-08-21",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "27226",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "27226",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "104862",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.