Joyce M Petty, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95130 Issued in SC

Practice address

180 Holcombe Rd
Simpsonville, SC 29680-6421

Phone

(864) 434-7322

NPI assigned

Oct 3, 2019

Last updated

Mar 23, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Precise Medical Staffing Solutions LLC

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Simpsonville, SC
  • NPI 1679150718
  NPD Authorized official
• Precise Homecare Solutions, LLC

  • In Home Supportive Care Agency
  • Simpsonville, SC
  • NPI 1407145824
  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1548801392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 GRANDVIEW DR STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296802821",
            "telephone_number": "864-434-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HOLCOMBE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806421",
            "telephone_number": "864-434-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "JOYCE",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "95130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernardo Eric Perkinson, DC
• Megan Peters, OTR/L
• Shaquitta Monique Peterson
• Stephanie Leigh Peterson, DPT, OTR, ATC
• Allison Petralia-Buie, BCBA
• Emily Elizabeth Phillips, MD
• Jessica Wilkerson Phillips, FNP
• Judith R Phillips
• Lakisha Phillips
• Tabitha Berry Phillips, MA, CCC-SLP

• Registered Nurse in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.