Individual provider Active NPI

Nathan Heffington, FNP-BC

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1396389367
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23228 Issued in SC
Practice address
525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone
(864) 272-0388
NPI assigned
Nov 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23228 SC Primary

Addresses

Primary practice location

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021

Mailing address

107 N Clearstone CT
Easley, SC 29642-8970
Phone (864) 423-0621

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
I20210929003815 SC Practitioner - Nurse Practitioner 5991102105 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Oct 1, 2021 Accepting new patients
Musc Affiliate Physicians PastSince May 25, 2021 Accepting new patients
University Medical Associates Past Accepting new patients

Locations

525 Verdae Blvd
#100
Greenville, SC 29607
Phone (864) 516-2800

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

30 Halter Dr
Powdersville, SC 29673

2 Hatcher Creek St
Simpsonville, SC 29680

559 Harrison Bridge Rd
Simpsonville, SC 29680

Interoperability endpoints

  • Direct secure messaging: nathan.heffington@tribe513.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1396389367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N CLEARSTONE CT",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428970",
            "telephone_number": "864-423-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-272-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFINGTON",
        "first_name": "NATHAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.