Juanita Maria Aviles, APRN
Individual provider Active NPI Family Nurse Practitioner · Columbia, SC
NPI 1497273965 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1497273965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 21274 (SC)
- Practice address
- 111 Doctor Cir
Columbia, SC 29203-6502 - Phone
- (800) 491-0909
- NPI assigned
- Sep 6, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- SC House Calls Inc
Practice addresses (Care Compare)
1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
Hospital & facility affiliations
- Interim Healthcare of the Upstate
- Centerwell Home Health
- Amedisys Home Health of Clinton
- Lutheran Hospice
- Prisma Health Baptist Easley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171128001764 | SC | Practitioner - Nurse Practitioner | 7810254927 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current |
Accepting new patients | |
| Molina Care Connections, LLC. | Current |
Accepting new patients | |
| SC House Calls Inc | Current |
Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
529 Mills Ave
Greenville, SC 29605
Phone (864) 282-5213
4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Interoperability endpoints
- juanita.garcia.1@7602.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21274 | SC | Yes |
Addresses
Primary practice location
111 Doctor Cir
Columbia, SC 29203-6502
Mailing address
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5069 | Medicaid | SC |
Other names
- Juanita Garcia
Other providers in Columbia, SC
- Sarah Avent
- Stephanie Eyvette Averette
- Mirakle Avery
- Avid Home Care LLC
- Rachel Avila
- Julie Ann Avin
- Avocado a Day Nutrition LLC
- Avodah Home Care LLC
- Halie Philbeck Avore
- Loren Avrett
All providers in Columbia, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.