Active NPI
Health Core Medical & Aesthetics Inc
- Primary Care Nurse Practitioner
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- HEALTH CORE MEDICAL & AESTHETICS INC
- Practice address
- 2992 Reidville Rd Ste 201
Spartanburg, SC 29301-5634 - Phone
- (864) 319-2535
- NPI assigned
- Oct 9, 2023
- Last updated
- Apr 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracey Miller, NP
- Title
- Authorized Official/Owner
- Phone
- (864) 680-8376
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
2992 Reidville Rd Ste 201
Spartanburg, SC 29301-5634
Mailing address
511 Cricket Ridge CT
Duncan, SC 29334-8877
Phone (864) 680-8376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2293478 | Health Core Medical& Aesthetics | Certificate of waiver | Nov 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
2660 Reidville Rd
Ste 5
Spartanburg, SC 29301
Phone (864) 319-2535
2992 Reidville Rd
Ste 201
Spartanburg, SC 29301
Phone (864) 319-2535
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Spartanburg, SC
- NPI 1265818892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712793600000",
"number": "1588445324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 CRICKET RIDGE CT",
"city": "DUNCAN",
"state": "SC",
"postal_code": "293348877",
"telephone_number": "864-680-8376",
"fax_number": "864-448-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2992 REIDVILLE RD STE 201",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293015634",
"telephone_number": "864-319-2535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH CORE MEDICAL & AESTHETICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-09",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "TRACEY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
"authorized_official_telephone_number": "864-680-8376",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
- Healing Place Chiropractic and Wellness, L.L.C.
- Healing Solutions, LLC
- Healogics Specialty Physicians of South Carolina, LLC (Upstate Wound Care by Healogics)
- Health Care Medical Inc
- Health Core Direct
- Healthstat Inc Grace Management
- Healthstat Inc Southeastern Paper Spartanburg
- Healthstat Inc.
- Healthstat on-Site Clinic/Milliken RMC
- Healthstat on-Site Clinic/Milliken Whitestone
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.