NPIMap

Individual provider Active NPI

Courtney Ashley Burton, F.N.P

  • Family Nurse Practitioner
  • Due West, SC
National Provider Identifier
1497015184
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17814 Issued in SC
Practice address
6 College Street
Due West, SC 29639
Phone
(864) 379-2345
NPI assigned
May 29, 2012
Last updated
Oct 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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 17814 SC Primary

Addresses

Primary practice location

6 College Street
Due West, SC 29639

Mailing address

PO Box 638
Due West, SC 29639-0638
Phone (864) 379-2345

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
I20120723000954 SC Practitioner - Nurse Practitioner 4688830474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 Thomson Cir
Abbeville, SC 29620-5656
Phone (864) 366-1649

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17814SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville County Memorial Hospital Current Accepting new patients
Abbeville County Memorial Hospital CurrentSince Oct 29, 2023 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Oct 29, 2023 Accepting new patients
Due West Family Medicine PA Past Accepting new patients
Abbeville County Memorial Hospital Past Accepting new patients
Carolina Long Term Care Assoicates,PC Family Past Accepting new patients
Due West Family Medicine Past Accepting new patients

Locations

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

6 College St
Due West, SC 29639
Phone (864) 379-2345

Interoperability endpoints

  • Direct secure messaging: cburton121257@selfregional.direct-ci.net

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, 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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1497015184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "DUE WEST",
            "state": "SC",
            "postal_code": "296390638",
            "telephone_number": "864-379-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COLLEGE STREET",
            "city": "DUE WEST",
            "state": "SC",
            "postal_code": "29639",
            "telephone_number": "864-379-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "COURTNEY",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Due West, SC

Sources for this page

Verify at the official NPI Registry.