Individual provider Active NPI

Geneva Addison, APRN

  • Family Nurse Practitioner
  • Darlington, SC
National Provider Identifier
1649914680
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26077 Issued in SC
Practice address
201 Cashua St
Darlington, SC 29532-3301
Phone
(843) 393-7452
Fax
(843) 393-6210
NPI assigned
Apr 26, 2022
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 26077 SC Primary

Addresses

Primary practice location

201 Cashua St
Darlington, SC 29532-3301

Mailing address

8906 Two Notch Rd
Columbia, SC 29223-6366
Phone (803) 254-3676

Other practice location 1

301 W Main St
LaMar, SC 29069-7102
Phone (843) 395-8400

Other practice location 2

1523 Heritage Ln
Florence, SC 29505-3197
Phone (843) 673-9992

Other identifiers 1

IdentifierTypeStateIssuer
NP8555MedicaidSC

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
I20220708003485 SC Practitioner - Nurse Practitioner 6406236371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare, IncGroup PAC ID 4688869696, 33 clinicians

Practice addresses (Care Compare)

115 Exchange St
Darlington, SC 29532-3203
Phone (843) 393-9421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26077SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare, Inc. Current Accepting new patients
Genesis Healthcare, Inc. CurrentSince Sep 14, 2022 Accepting new patients
Genesis Healthcare, Inc. CurrentSince Sep 14, 2022 Accepting new patients
Genesis Healthcare, Inc. Past Accepting new patients

Locations

8906 Two Notch Rd
Columbia, SC 29223
Phone (803) 254-3676

115 Exchange St
Darlington, SC 29532
Phone (843) 393-9421

201 Cashua St
Darlington, SC 29532
Phone (843) 383-7452

1523 Heritage Ln
Florence, SC 29505
Phone (843) 673-0900

99 Bridgetown Rd
Goose Creek, SC 29445
Phone (843) 572-3300

211 S Jones Rd
Olanta, SC 29114
Phone (843) 396-9723

830 Robertson Blvd
Walterboro, SC 29488
Phone (843) 781-7428

Interoperability endpoints

  • Direct secure messaging: geneva.addison.1@20108.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1649914680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CASHUA ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323301",
            "telephone_number": "843-393-7452",
            "fax_number": "843-393-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Main St",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "SC",
            "postal_code": "290697102",
            "country_code": "US",
            "telephone_number": "843-395-8400",
            "fax_number": "843-395-8401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1523 Heritage Ln",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295053197",
            "country_code": "US",
            "telephone_number": "843-673-9992",
            "fax_number": "843-673-9996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "GENEVA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP8555",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darlington, SC

Sources for this page

Verify at the official NPI Registry.