NPIMap

Individual provider Active NPI

Katherine E Peil, FNP

  • Adult Medicine Physician
  • Sumter, SC
National Provider Identifier
1467061481
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
RN202458 Issued in GA
Practice address
641 W Wesmark Blvd
Sumter, SC 29150-1900
Phone
(803) 905-6944
NPI assigned
Jul 27, 2020
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X RN202458 GA Primary

Addresses

Primary practice location

641 W Wesmark Blvd
Sumter, SC 29150-1900

Mailing address

641 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 905-6944

Other practice location 1

800 W Thomas St
Milledgeville, GA 31061-2674
Phone (478) 453-9346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914000108 SC Practitioner - Nurse Practitioner 9032515275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumter GastroenterologyGroup PAC ID 2264618164, 6 clinicians

Practice addresses (Care Compare)

641 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 905-6944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN202458GAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oconee Family Medicine Center, PC CurrentSince Aug 1, 2020 Accepting new patients
Sumter Gastroenterology CurrentSince Jul 1, 2021 Accepting new patients

Locations

800 W Thomas St
Milledgeville, GA 31061
Phone (478) 453-9346

641 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 778-1941

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAFJAD

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1467061481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501900",
            "telephone_number": "803-905-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501900",
            "telephone_number": "803-905-6944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Thomas St",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310612674",
            "country_code": "US",
            "telephone_number": "478-453-9346",
            "fax_number": "478-453-0205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEIL",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "RN202458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.