Individual provider Active NPI

Lillian Turnage Pack

  • Adult Health Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1619651288
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
27477 Issued in SC
Practice address
1530 Drayton Road
Spartanburg, SC 29307-1058
Phone
(864) 560-8777
Fax
(864) 560-4580
NPI assigned
Jun 13, 2023
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 27477 SC Primary

Addresses

Primary practice location

1530 Drayton Road
Spartanburg, SC 29307-1058

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other practice location 1

634 Fairview Rd
Simpsonville, SC 29680-6707
Phone (864) 621-0238

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lturnage145060@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230720001304 SC Practitioner - Nurse Practitioner 3779943808 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians
Carolina Nephrology PAGroup PAC ID 2961467733, 37 clinicians
Providence House Calls LLCGroup PAC ID 1759528250, 20 clinicians

Practice addresses (Care Compare)

1530 Drayton Rd
Spartanburg, SC 29307
Phone (864) 560-8777

203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844

634 Fairview Rd
Simpsonville, SC 29680-6707
Phone (864) 295-8714

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27477SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Carolina Nephrology PA CurrentSince Nov 15, 2025 Accepting new patients
Providence House Calls LLC CurrentSince Jun 13, 2023 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Aug 1, 2025 Accepting new patients

Locations

203 Mills Ave
Greenville, SC 29605
Phone (803) 271-1844

500 Lakeshore Pkwy
Rock Hill, SC 29730
Phone (803) 818-6900

634 Fairview Rd
Simpsonville, SC 29680
Phone (843) 851-3126

1410 John B White SR Blvd
Spartanburg, SC 29306
Phone (864) 271-1488

1410B John B White SR Blvd
Spartanburg, SC 29306
Phone (864) 529-9390

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

Interoperability endpoints

  • Direct secure messaging: lturnage145060@direct-srhs.et0939.epichosted.com

Organizations & group practices 5

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1619651288",
    "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": "1530 DRAYTON ROAD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071058",
            "telephone_number": "864-560-8777",
            "fax_number": "864-560-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 Fairview Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296806707",
            "country_code": "US",
            "telephone_number": "864-621-0238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACK",
        "first_name": "LILLIAN",
        "middle_name": "TURNAGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "27477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lturnage145060@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lturnage145060@direct-srhs.et0939.epichosted.com",
            "address_1": "1530 Drayton Road",
            "city": "SPARTANBURG",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293071058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.