Active NPI
Allison Clarke Berger
- Pediatric Nurse Practitioner
- North Augusta, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26104
- Practice address
- 616 Edgefield Rd
North Augusta, SC 29841-1938 - Phone
- (803) 961-5001
- NPI assigned
- Apr 7, 2022
- Last updated
- Jun 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26104 | SC | Primary |
Addresses
Primary practice location
616 Edgefield Rd
North Augusta, SC 29841-1938
Mailing address
616 Edgefield Rd Ste 180
North Augusta, SC 29841-6407
Phone (803) 961-5001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Niteowl Pediatric Urgent Care LLC | Current | Accepting new patients | |
| Pediatric Housecall Services PLLC | Past | Accepting new patients |
Locations
2005 Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 701-2662
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
616 Edgefield Rd
Ste 180
North Augusta, SC 29841
Phone (803) 279-7666
Interoperability endpoints
- aberger105974@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
dba NiteOwl Pediatrics
- Urgent Care Clinic/Center
- North Augusta, SC
- NPI 1881353423
-
- Pediatrics Physician
- Hickory, NC
- NPI 1093250904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1669114997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 EDGEFIELD RD STE 180",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298416407",
"telephone_number": "803-961-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 EDGEFIELD RD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298411938",
"telephone_number": "803-961-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "ALLISON",
"middle_name": "CLARKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "26104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.