Active NPI
Elizabeth Hammond, C.P.N.P.
- Pediatric Nurse Practitioner
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 22080
- Practice address
- 210 Wells Ave
Greenwood, SC 29646-3843 - Phone
- (864) 943-4279
- Fax
- (864) 223-2642
- NPI assigned
- Jul 27, 2006
- Last updated
- Dec 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 22080 | SC | Primary |
Addresses
Primary practice location
210 Wells Ave
Greenwood, SC 29646-3843
Mailing address
210 Wells Ave
Greenwood, SC 29646-3843
Phone (864) 943-4279
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehammond247031@selfregional.direct-ci.net |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Snellville Pediatrics, P.C. | Past | Accepting new patients | |
| Self Regional Healthcare | Past | Accepting new patients | |
| Self Medical Group | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
75 Remittance Dr
Dept 6793
Chicago, IL 60675
102 Katie Ct
Greenwood, SC 29646
Phone (864) 227-2022
155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865
210 Wells Ave
Greenwood, SC 29646
Phone (864) 227-2020
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- ehammond247031@selfregional.direct-ci.net
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72215
Organizations & group practices 9
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.
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
dba Montgomery Center for Family Medicine of SRH
- Family Medicine Physician
- Greenwood, SC
- NPI 1326067703
-
- Family Medicine Physician
- Ninety Six, SC
- NPI 1609262807
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
dba Pediatric Associates Greenwood
- Pediatrics Physician
- Greenwood, SC
- NPI 1225838832
-
dba Self Regional Neurology
- Neurology Physician
- Greenwood, SC
- NPI 1285502559
-
dba Advanced Gastroenterology
- Gastroenterology Physician
- Greenwood, SC
- NPI 1841047560
-
dba Self Medical Center Newberry
- Family Medicine Physician
- Newberry, SC
- NPI 1548068398
-
- Pediatrics Physician
- Snellville, GA
- NPI 1154453967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1508870635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WELLS AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463843",
"telephone_number": "864-943-4279",
"fax_number": "864-223-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WELLS AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463843",
"telephone_number": "864-943-4279",
"fax_number": "864-223-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "C.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "22080",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ehammond247031@selfregional.direct-ci.net",
"affiliation": "N",
"address_1": "210 Wells Ave",
"city": "Greenwood",
"state": "SC",
"country_code": "US",
"postal_code": "296463843",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.