Individual provider Active NPI

Corey Baumis, FNP-C

  • Family Nurse Practitioner
  • Goose Creek, SC
National Provider Identifier
1518738178
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.28415 Issued in SC
Practice address
122 S Goose Creek Blvd Ste B
Goose Creek, SC 29445-3136
Phone
(843) 553-2211
NPI assigned
Jan 12, 2024
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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 APRN.28415 SC Primary

Addresses

Primary practice location

122 S Goose Creek Blvd Ste B
Goose Creek, SC 29445-3136

Mailing address

122 S Goose Creek Blvd Ste B
Goose Creek, SC 29445-3136
Phone (843) 553-2211

Other practice location 1

2039 N Main St
Summerville, SC 29486-7821
Phone (843) 553-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240522000391 NC Practitioner - Nurse Practitioner 6901248079 Reassigns benefits to 1 organization
I20251029000550 SC Practitioner - Nurse Practitioner 6901248079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Healthcare of Charleston LLCGroup PAC ID 7416130703, 5 clinicians

Practice addresses (Care Compare)

122 S Goose Creek Blvd
Goose Creek, SC 29445-3136
Phone (843) 553-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28145SCMDFamily Medicine Physician
APRN.28415SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tarheel Foot & Specialty Care, P.a. Family CurrentSince Mar 25, 2024 Accepting new patients
Advantage Healthcare of Charleston LLC CurrentSince Jul 23, 2025 Accepting new patients
Gray's Pain Relief Center, LLC PastSince Jul 23, 2025 Accepting new patients

Locations

300 Birch St
Raeford, NC 28376
Phone (910) 904-0648

300 Birch St
Ste B
Raeford, NC 28376
Phone (910) 875-1032

122 S Goose Creek Blvd
#B
Goose Creek, SC 29445
Phone (843) 553-2211

2039 N Main St
Summerville, SC 29486
Phone (843) 771-2024

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1518738178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S GOOSE CREEK BLVD STE B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453136",
            "telephone_number": "843-553-2211",
            "fax_number": "843-305-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S GOOSE CREEK BLVD STE B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453136",
            "telephone_number": "843-553-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2039 N Main St",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294867821",
            "country_code": "US",
            "telephone_number": "843-553-2211",
            "fax_number": "843-305-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMIS",
        "first_name": "COREY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-12",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APRN.28415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.