Individual provider Active NPI

Ashley Tolbert, FNP

  • Pediatrics Physician
  • Lugoff, SC
National Provider Identifier
1679979231
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18715 Issued in SC
Practice address
40 Baldwin Ave
Lugoff, SC 29078-9406
Phone
(803) 408-3262
Fax
(803) 408-8895
NPI assigned
Nov 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 18715 SC Primary

Addresses

Primary practice location

40 Baldwin Ave
Lugoff, SC 29078-9406

Mailing address

40 Baldwin Ave
PO Box 366
Lugoff, SC 29078-9406
Phone (803) 408-3262

Other identifiers 1

IdentifierTypeStateIssuer
18715OtherSCSC LIC

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
I20191223001660 SC Practitioner - Nurse Practitioner 1658705702 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Medical Foundation, Inc. CurrentSince Jun 14, 2023 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Aug 18, 2022 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Oct 6, 2019 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Oct 6, 2019 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. Past Accepting new patients
Sandhills Medical Foundation Past Accepting new patients

Locations

103 Main St N
Bldg N
Bethune, SC 29009
Phone (843) 334-7145

103 Main St N
Bethune, SC 29009
Phone (843) 334-6551

2611 Liberty Hill Rd
Camden, SC 29020
Phone (803) 432-3447

409 E Church St
Jefferson, SC 29718
Phone (843) 658-3005

205 W Marion St
Kershaw, SC 29067
Phone (803) 475-4701

40 Baldwin Ave
Lugoff, SC 29078
Phone (803) 408-3262

645 S Seventh St
Mc Bee, SC 29101
Phone (803) 475-4701

727 S Seventh St
Mc Bee, SC 29101
Phone (843) 335-8291

126 N Pearl St
Pageland, SC 29728
Phone (843) 675-5004

30 Cuttino Rd
Sumter, SC 29150
Phone (803) 778-2442

Interoperability endpoints

  • Direct secure messaging: ashleytolbert@smf.allscriptsdirect.net

Organizations & group practices 10

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": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1679979231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BALDWIN AVE",
            "address_2": "PO BOX 366",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789406",
            "telephone_number": "803-408-3262",
            "fax_number": "803-408-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BALDWIN AVE",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789406",
            "telephone_number": "803-408-3262",
            "fax_number": "803-408-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "ASHLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "18715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LIC",
            "identifier": "18715",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lugoff, SC

Sources for this page

Verify at the official NPI Registry.