Teyanna Joyce Dillingham

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

22330 Issued in SC

Practice address

1341 N Limestone St
Gaffney, SC 29340-4733

Phone

(864) 582-2411

Fax

(864) 512-3288

NPI assigned

Jan 4, 2019

Last updated

Mar 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regenesis Organization Community Health CenterGroup PAC ID 8022928001, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1194710426
  Medicare reassignment Care Compare group NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Highway to Hope Tri-County Primary Care

  • Primary Care Nurse Practitioner
  • Bennettsville, SC
  • NPI 1295332690
  Medicare reassignment NPD
• Regenesis Organization Community Health Center

  dba Gaffney Medical Center

  • Federally Qualified Health Center (FQHC)
  • Gaffney, SC
  • NPI 1245409846
  NPD
• Regenesis Organization Community Health Center

  dba Regenesis Health Care

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1457061087
  NPD
• Regenesis Organization Community Health Center

  dba ReGenesis Health Care

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1457745952
  NPD
• Regenesis Organization Community Health Center

  dba Regenesis Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1548528714
  NPD
• Regenesis Organization Community Health Center

  dba Regenesis Health Center- Northside

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1558946376
  NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Union, SC
  • NPI 1982248852
  NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Midlands Crisis Stabilization Center

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Spartanburg Area Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spartanburg, SC
  • NPI 1427168889
  NPD

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1467925206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404733",
            "telephone_number": "864-582-2411",
            "fax_number": "864-512-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404733",
            "telephone_number": "864-582-2411",
            "fax_number": "864-512-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLINGHAM",
        "first_name": "TEYANNA",
        "middle_name": "JOYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22330",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "22330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.