Active NPI
Caroline Timanus, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 25893
- Practice address
- 10 Patewood Dr Ste 130
Greenville, SC 29615-6317 - Phone
- (864) 455-8988
- Fax
- (864) 455-4540
- NPI assigned
- Jun 9, 2020
- Last updated
- Apr 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 25893 | SC | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN27587 | TN |
Addresses
Primary practice location
10 Patewood Dr Ste 130
Greenville, SC 29615-6317
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
6107 Pinewood Rd
Nunnelly, TN 37137-2523
Phone (888) 852-6672
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Physicians Dr
Suite B
Greer, SC 29650-2446
Phone (864) 797-9170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25893 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
| APN27587 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
10 Patewood Dr
Ste 130
Greenville, SC 29615
Phone (864) 455-8988
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
109 Physicians Dr
Ste B
Greer, SC 29650
Phone (864) 797-9170
Interoperability endpoints
- ctimanus588649@direct.ghs.myhfn.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1518582204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PATEWOOD DR STE 130",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156317",
"telephone_number": "864-455-8988",
"fax_number": "864-455-4540"
}
],
"practiceLocations": [
{
"address_1": "6107 Pinewood Rd",
"address_purpose": "LOCATION",
"city": "Nunnelly",
"state": "TN",
"postal_code": "371372523",
"country_code": "US",
"telephone_number": "888-852-6672",
"fax_number": "305-891-4228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIMANUS",
"first_name": "CAROLINE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-09",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "25893",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN27587",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.