Individual provider Active NPI

Cheryl Ann Lonabaugh, NP

  • Nurse Practitioner
  • Conway, SC
National Provider Identifier
1659468114
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019279 Issued in NC
Practice address
1113 Church St
Conway, SC 29526-4128
Phone
(843) 348-6269
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5019279 NC Primary
Registered Nurse 163W00000X L1-0028446 DE
Family Nurse Practitioner 363LF0000X 23063 SC
Family Nurse Practitioner 363LF0000X LG-0000351 DE

Addresses

Primary practice location

1113 Church St
Conway, SC 29526-4128

Mailing address

1113 Church St
Conway, SC 29526-4128
Phone (843) 248-6269

Other identifiers 1

IdentifierTypeStateIssuer
556304600MedicaidMD

Other names 1

  • Cheryl Ann Lonabaugh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040823001325 DE Practitioner - Nurse Practitioner 1254305584 Reassigns benefits to 1 organization
I20190916002080 SC Practitioner - Nurse Practitioner 1254305584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

1113 Church St
Conway, SC 29526-4128
Phone (843) 248-6269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0028446DEMDRegistered Nurse
5019279NCMDNurse Practitioner
LG-0000351DEMDFamily Nurse Practitioner
23063SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Nurse Practitioner CurrentSince Jan 1, 2015 Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
Novant Health Urgent Cares LLC CurrentSince Mar 15, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 1, 2015 Accepting new patients
Delaware Medical Group, LLC Family Past Accepting new patients

Locations

501 W 14th St
Bldg 4TH
Wilmington, DE 19801
Phone (302) 661-3070

501 W 14th St
Fl 4
Wilmington, DE 19801
Phone (302) 623-3475

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3506 Kennett Pike
Wilmington, DE 19807
Phone (302) 661-3000

4512 Kirkwood Hwy
Ste 300
Wilmington, DE 19808
Phone (302) 623-7500

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

1113 Church St
Conway, SC 29526
Phone (843) 248-6269

2475 Broad St
Sumter, SC 29150
Phone (803) 778-6555

Interoperability endpoints

  • Direct secure messaging: clonabaugh1234508@direct.novanthealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1659468114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 CHURCH ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264128",
            "telephone_number": "843-248-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 CHURCH ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264128",
            "telephone_number": "843-348-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONABAUGH",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019279",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0028446",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "556304600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "LONABAUGH",
            "middle_name": "ANN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.