Virtuous Primary Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

VIRTUOUS PRIMARY CARE

Practice address

1116 Courtland Ave.
Florence, SC 29505

Phone

(843) 687-6952

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Tynaka Kwans Wilson, FNPNPI 1295217545

Title

Family Nurse Practitioner

Phone

(843) 206-5346

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tynaka Kwans Wilson, APRN

  • Family Nurse Practitioner
  • Florence, SC
  • NPI 1295217545
  Medicare reassignment Care Compare group NPD Authorized official
• Lasheena Tindal Douglas, APRN

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1942782305
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1508515842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4158 PLANER RD",
            "city": "EFFINGHAM",
            "state": "SC",
            "postal_code": "29541",
            "telephone_number": "843-687-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 COURTLAND AVE.",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29505",
            "telephone_number": "843-687-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUOUS PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TYNAKA",
        "authorized_official_middle_name": "KWANS",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "843-206-5346",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Thomas Vernon
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• Vicki Chung DMD, PC
• Jacob Scott Vining, DO
• Visionworks, Inc.
• W Wallace Vaught Jr MD PC
• W. Dean Lorenz MD PC
• Cynthia K. Waddill, FNP
• James David Wade, CRNA

• Family Nurse Practitioner in Florence, SC
• Providers in Florence, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.