Individual provider Active NPI

Chasity Logan Irick Sims, APRN

  • Family Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1477091221
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20686 Issued in SC
Practice address
1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Phone
(800) 491-0909
Fax
(803) 296-7330
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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 20686 SC Primary

Addresses

Primary practice location

1053 Center Street
SC House Calls Inc
West Columbia, SC 29169

Mailing address

1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Phone (800) 491-0909

Other identifiers 1

IdentifierTypeStateIssuer
NP4458MedicaidSC

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
I20170601001661 SC Practitioner - Nurse Practitioner 0648547273 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw CurrentSince Sep 20, 2021 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Sep 1, 2018 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group CurrentSince Aug 1, 2022 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Sep 1, 2018 Accepting new patients
McLeod Health Cheraw CurrentSince Sep 20, 2021 Accepting new patients
Self Medical Group CurrentSince Aug 1, 2022 Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

116 Hospital Sq
Bishopville, SC 29010
Phone (803) 484-9424

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

101 William H Johnson St
Ste 150
Florence, SC 29506
Phone (843) 382-6217

410 Epting Ave
Greenwood, SC 29646
Phone (864) 725-5326

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: csims538215@selfregional.direct-ci.net
  • Direct secure messaging: csims32328@directmcleodehealth.org

Organizations & group practices 7

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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1477091221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 CENTER STREET",
            "address_2": "SC HOUSE CALLS INC",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "800-491-0909",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 CENTER STREET",
            "address_2": "SC HOUSE CALLS INC",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "800-491-0909",
            "fax_number": "803-296-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "CHASITY",
        "middle_name": "LOGAN IRICK",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4458",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.