Deborah L Hipp, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F1320 Issued in SC

Practice address

152 Waccamaw Medical Park Dr
Conway, SC 29526-8901

Phone

(866) 418-9211

Fax

(866) 469-9514

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mofdaps and CompanyGroup PAC ID 3678611720, 6 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.

• Mofdaps and Company

  • Psychiatry Physician
  • Myrtle Beach, SC
  • NPI 1144458183
  Medicare reassignment Care Compare group NPD
• Rivertown Primary Medical

  • Family Medicine Physician
  • Conway, SC
  • NPI 1770692808
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1437258191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 GIST LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295885438",
            "telephone_number": "866-418-9211",
            "fax_number": "866-469-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WACCAMAW MEDICAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268901",
            "telephone_number": "866-418-9211",
            "fax_number": "866-469-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPP",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "F1320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1614",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Perry Higson, LPC-S
• Lance R Hilliker, RPH
• Lee Devon Hinson Jr.
• Alec Hinton, DO
• Vicky Renee Hinz, RN, BSN
• Coty HP Ho, MD
• Maragret Faye Hocker, SAS, CPSS
• Traci M Hogan, MA, CCC
• Kaitlin Elizabeth Hojnowski, LISW- CP
• Helga Graciela Holbert, RN

• Nurse Practitioner in Conway, SC
• Providers in Conway, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.