Active NPI
Rebecca Louise Emerson, NP
- Pediatric Nurse Practitioner
- Union, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 28044
- Practice address
- 407 W South St
Union, SC 29379-2771 - Phone
- (864) 429-8846
- Fax
- (864) 429-9093
- NPI assigned
- Aug 4, 2014
- Last updated
- Jan 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5007060 | NC | |
| Pediatric Nurse Practitioner | 363LP0200X | 28044 | SC | Primary |
Addresses
Primary practice location
407 W South St
Union, SC 29379-2771
Mailing address
PO Box 2168
Spartanburg, SC 29304-2168
Phone (864) 560-4304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP6679 | Medicaid | SC | |
| SCR298H985 | Other | SC | MEDICARE PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | remerson264714@direct-srhs.et0939.epichosted.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28044 | SC | MD | Family Medicine Physician |
| 5007060 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Union Medical Center | Current | Accepting new patients | |
| Union Medical Center | Current | Accepting new patients | |
| Union Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
1201 Furman L Fendley Hwy
Ste B
Union, SC 29379
Phone (864) 429-8846
322 W South St
Union, SC 29379
Phone (864) 301-2000
407 W South St
Union, SC 29379
Phone (864) 427-4993
Interoperability endpoints
- remerson264714@direct-srhs.et0939.epichosted.com
- remerson99149@direct.novanthealth.org
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.
-
dba Umc Center for Family Medicine
- Family Medicine Physician
- Union, SC
- NPI 1902308984
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
dba Union Medical Center-Professional Services
- Cardiovascular Disease Physician
- Union, SC
- NPI 1841074044
-
dba CMC Faculty Physicians
- Pediatrics Physician
- Charlotte, NC
- NPI 1528209681
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1649689720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293042168",
"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": "407 W SOUTH ST",
"city": "UNION",
"state": "SC",
"postal_code": "293792771",
"telephone_number": "864-429-8846",
"fax_number": "864-429-9093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "REBECCA",
"middle_name": "LOUISE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5007060",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "28044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP6679",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SCR298H985",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "remerson264714@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "remerson264714@direct-srhs.et0939.epichosted.com",
"address_1": "407 W South St",
"city": "Union",
"state": "SC",
"country_code": "US",
"postal_code": "293792771",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Union, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.