Individual provider Active NPI

Lou Bernice Marcum, FNP-BC

  • Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1457530289
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
30040 Issued in SC
Practice address
1762 E Main St
Spartanburg, SC 29307-2231
Phone
(864) 968-9144
Fax
(864) 968-9244
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 62746 WV
Family Nurse Practitioner 363LF0000X 30040 SC
Nurse Practitioner 363L00000X 30040 SC Primary

Addresses

Primary practice location

1762 E Main St
Spartanburg, SC 29307-2231

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Other practice location 1

2827 Fifth Avenue
Huntington, WV 25702-1450
Phone (304) 399-7182

Other identifiers 3

IdentifierTypeStateIssuer
0126989MedicaidOH
3810025066MedicaidWV
7100350590MedicaidKY

Other names 1

  • Lou B Potter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090831000259 WV Practitioner - Nurse Practitioner 4284789066 Reassigns benefits to 3 organizations
I20251009003444 SC Practitioner - Nurse Practitioner 4284789066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

1762 E Main St
Spartanburg, SC 29307-2231
Phone (864) 968-9144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co CurrentSince Mar 1, 2024 Accepting new patients
Hospital Development Co Current Accepting new patients
St. Mary'S Medical Management, LLC Nurse Practitioner CurrentSince Apr 13, 2015 Accepting new patients
Point Pleasant Physician Billing Services Nurse Practitioner CurrentSince Mar 1, 2017 Accepting new patients
Hospital Development Co CurrentSince Mar 1, 2024 Accepting new patients
Hospital Development Co Current Accepting new patients
Novant Health Urgent Cares LLC CurrentSince Jul 5, 2025 Accepting new patients
St. Mary'S Medical Management, LLC Family CurrentSince Apr 13, 2015 Accepting new patients
Hospital Development Co CurrentSince Dec 3, 2025 Accepting new patients
Eden Family Practice Inc. Past Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

1762 E Main St
Spartanburg, SC 29307
Phone (864) 573-5075

2475 Broad St
Sumter, SC 29150
Phone (803) 778-6555

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2827 5th Ave
Huntington, WV 25702
Phone (304) 399-7182

2501 Jackson Ave
Pt Pleasant, WV 25550
Phone (304) 675-2303

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

Organizations & group practices 10

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1457530289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072231",
            "telephone_number": "864-968-9144",
            "fax_number": "864-968-9244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2827 Fifth Avenue",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021450",
            "country_code": "US",
            "telephone_number": "304-399-7182",
            "fax_number": "304-523-7738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "LOU",
        "middle_name": "BERNICE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "62746",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30040",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "30040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126989",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810025066",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100350590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOU",
            "last_name": "POTTER",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.