Alicia Dawn Womack, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19572 Issued in SC

Practice address

139 Medical Center Dr
Gaffney, SC 29340-4823

Phone

(864) 487-7186

Fax

(864) 487-7246

NPI assigned

Jun 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cherokee Medical CenterGroup PAC ID 5991041212, 38 clinicians

Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spartanburg Regional Home Health Home health agency, Spartanburg, SC, CCN 427024
• Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043
• Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cherokee Medical Center

  dba CMC-Immediate Care Center-Gaffney

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1285275305
  Medicare reassignment Care Compare group NPD
• Health Providers of America, LLC

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1316560972

  SC

  Medicare reassignment Care Compare group NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Spineand Pain Management - NorthGrove

  • Neuromusculoskeletal Medicine & OMM Physician
  • Spartanburg, SC
  • NPI 1043309917
  Medicare reassignment NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Family Medicine - Boiling Springs

  • Family Medicine Physician
  • Boiling Springs, SC
  • NPI 1235170077
  Medicare reassignment NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Emergency Medicine

  • Emergency Medicine Physician
  • Spartanburg, SC
  • NPI 1699729939
  Medicare reassignment NPD
• Cherokee Medical Center

  dba CMC-Center for Pediatrics

  • Rural Health Clinic/Center
  • Gaffney, SC
  • NPI 1265073381
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Immediate Care Center - Eastside

  • Urgent Care Clinic/Center
  • Spartanburg, SC
  • NPI 1083953491
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Family Medicine - Gaffney

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1144261983
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Internal Medicine - Gaffney

  • Internal Medicine Physician
  • Gaffney, SC
  • NPI 1548208648
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas Pain Management Wood Street

  • Physical Medicine & Rehabilitation Physician
  • Spartanburg, SC
  • NPI 1942188875
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cherokee Medical Center

  dba CMC Wound Services

  • General Acute Care Hospital
  • Gaffney, SC
  • NPI 1205307378
  Care Compare affiliation
• Spartanburg Medical Center

  dba Spartanburg Medical Center- Psychiatric Unit

  • Psychiatric Hospital Unit
  • Spartanburg, SC
  • NPI 1033681630
  Care Compare affiliation
• Spartanburg Medical Center

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1326373697

  Hospital

  Care Compare affiliation
• Spartanburg Medical Center

  dba Spartanburg Regional Home Health

  • Home Health Agency
  • Spartanburg, SC
  • NPI 1558381541
  Care Compare affiliation
• Spartanburg Medical Center

  • General Acute Care Hospital
  • Spartanburg, SC
  • NPI 1609807122
  Care Compare affiliation
• Spartanburg Medical Center

  dba Spartanburg Medical Center-Center for Rehabilitative Medicine

  • Rehabilitation Hospital Unit
  • Spartanburg, SC
  • NPI 1942772546
  Care Compare affiliation

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1538541792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MEDICAL CENTER DR",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404823",
            "telephone_number": "864-487-7186",
            "fax_number": "864-487-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "ALICIA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC62595096",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC62596121",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC6259J577",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC62596067",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3288",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeri Ann Wilson
• Kara Wilson
• Shikina Symone Wilson
• Trena Wisher
• Ricky David Wolfe, MD
• Zach Wood
• Mary Alex Woodlief
• Sharon Fitzgerald Wright, LPC
• David Michael Yannello Sr., R.PH.
• Mike Yehl, PH.D.

• Family Nurse Practitioner in Gaffney, SC
• Providers in Gaffney, 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 Jan 9, 2020; 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.

Verify at the official NPI Registry.