Individual provider Active NPI

Lorryn Berlin, FNP

  • Family Nurse Practitioner
  • Fort Mill, SC
National Provider Identifier
1679083075
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21338A Issued in SC
Practice address
704 Gold Hill Rd
Ste 1200
Fort Mill, SC 29715-8906
Phone
(704) 667-3380
NPI assigned
Oct 11, 2017
Last updated
May 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21338A SC
Family Nurse Practitioner 363LF0000X 21338A SC Primary

Addresses

Primary practice location

704 Gold Hill Rd
Ste 1200
Fort Mill, SC 29715-8906

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

1656 Riverchase Blvd
Ste 1800
Rock Hill, SC 29732-2084
Phone (803) 909-1850

Other practice location 2

9623 Redstone Dr
Ste 300
Indian Land, SC 29707-5403
Phone (704) 667-4840

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address lyager109432@CarolinasHealthcareSystem.direct-ci.com Atrium Health

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
I20180108000535 SC Practitioner - Nurse Practitioner 6305105974 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21338ASCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Oct 28, 2018 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 28, 2018 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

704 Gold Hill Rd
Ste 1200
Fort Mill, SC 29715
Phone (704) 667-3380

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

9623 Redstone Dr
Ste 300
Indian Land, SC 29707
Phone (704) 667-4840

1656 Riverchase Blvd
Ste 1800
Rock Hill, SC 29732
Phone (803) 909-1850

1656 Riverchase Blvd
Ste 2400
Rock Hill, SC 29732
Phone (803) 329-5131

Interoperability endpoints

  • Direct secure messaging: lyager109432@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.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1679083075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 GOLD HILL RD",
            "address_2": "STE 1200",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158906",
            "telephone_number": "704-667-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1656 Riverchase Blvd",
            "address_2": "Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297322084",
            "country_code": "US",
            "telephone_number": "803-909-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9623 Redstone Dr",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Indian Land",
            "state": "SC",
            "postal_code": "297075403",
            "country_code": "US",
            "telephone_number": "704-667-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "LORRYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2023-05-04",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21338A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21338A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lyager109432@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "704 Gold Hill Rd",
            "address_2": "Ste 1200",
            "city": "Fort Mill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297158906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.