NPIMap

Individual provider Active NPI

Kelly Lynn Warnock, FNP

  • Family Nurse Practitioner
  • Lugoff, SC
National Provider Identifier
1578850947
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F4476 Issued in SC
Practice address
1165 Highway 1 S
Suite 300
Lugoff, SC 29078-8966
Phone
(803) 438-0867
Fax
(803) 438-4391
NPI assigned
Jul 6, 2011
Last updated
Jul 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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 F4476 SC Primary

Addresses

Primary practice location

1165 Highway 1 S
Suite 300
Lugoff, SC 29078-8966

Mailing address

103 South Main Street
Bethune, SC 29009
Phone (843) 334-6551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000537 SC Practitioner - Nurse Practitioner 9436316999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1218 Roberts St
Camden, SC 29020-3736
Phone (803) 425-6460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4476SCMDChiropractor
F4476SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Musc Community Physicians Current Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Sandhills Medical Foundation, Inc. Past Accepting new patients
Sandhills Medical Foundation Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1111 Mill St
Camden, SC 29020
Phone (803) 425-1330

1218 Roberts St
Camden, SC 29020
Phone (803) 425-6460

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

1344 Haile St
Camden, SC 29020
Phone (803) 254-3376

2034 W DeKalb St
Camden, SC 29020
Phone (803) 438-0825

2689 Highway 1 S
Elgin, SC 29045
Phone (803) 438-7698

40 Pinnacle Pkwy
Ste 100
Elgin, SC 29045
Phone (803) 424-5160

216 E Marion St
Kershaw, SC 29067
Phone (803) 475-3350

710 Dewitt Dr
Lugoff, SC 29078
Phone (803) 233-1730

Interoperability endpoints

  • Direct secure messaging: kwarnock379685@direct.musc.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1578850947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SOUTH MAIN STREET",
            "city": "BETHUNE",
            "state": "SC",
            "postal_code": "29009",
            "telephone_number": "843-334-6551",
            "fax_number": "803-438-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 HIGHWAY 1 S",
            "address_2": "SUITE 300",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290788966",
            "telephone_number": "803-438-0867",
            "fax_number": "803-438-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNOCK",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F4476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lugoff, SC

Sources for this page

Verify at the official NPI Registry.