Individual provider Active NPI

Stephanie E Burgess, APRN

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1477592178
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN481 Issued in SC
Practice address
1410 Blanding St Ste 102
Columbia, SC 29201-2967
Phone
(803) 256-2500
Fax
(803) 758-1726
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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 APN481 SC Primary

Addresses

Primary practice location

1410 Blanding St Ste 102
Columbia, SC 29201-2967

Mailing address

PO Box 5731
Columbia, SC 29250-5731
Phone (803) 256-2500

Other identifiers 1

IdentifierTypeStateIssuer
FNP001MedicaidSC

Other names 1

  • Ms. Stephanie Stranges Former name

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
I20040617000986 SC Practitioner - Nurse Practitioner 3476537234 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, 226 clinicians

Practice addresses (Care Compare)

8301 Farrow Rd
Columbia, SC 29203-3245
Phone (803) 898-8405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
481SCMDOccupational Therapist
APN481SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
SC House Calls Inc CurrentSince Feb 25, 2019 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jan 17, 2009 Accepting new patients
SC House Calls Inc CurrentSince Feb 25, 2019 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 7, 2016 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 7, 2016 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jan 17, 2009 Accepting new patients

Locations

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

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

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

2100 Bull St
Columbia, SC 29201
Phone (803) 898-1574

1410 Blanding St
Ste 102
Columbia, SC 29201
Phone (803) 256-2500

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: stephanie.burgess.1@7602.direct.athenahealth.com

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1477592178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5731",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292505731",
            "telephone_number": "803-256-2500",
            "fax_number": "803-758-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BLANDING ST STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012967",
            "telephone_number": "803-256-2500",
            "fax_number": "803-758-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FNP001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "STRANGES",
            "prefix": "MS.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.