Active NPI
Ashley Tolbert, FNP
- Pediatrics Physician
- Lugoff, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18715
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18715 | Other | SC | SC 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandhills Medical Foundation, Inc. | Current | Accepting new patients | |
| Sandhills Medical Foundation, Inc. | Current | Accepting new patients | |
| Sandhills Medical Foundation, Inc. | Current | Accepting new patients | |
| Sandhills Medical Foundation, Inc. | Current | Accepting new patients | |
| Sandhills Medical Foundation, Inc. | Current | Accepting new patients | |
| Sandhills Medical Foundation, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Bethune, SC
- NPI 1083228779
-
- Federally Qualified Health Center (FQHC)
- McBee, SC
- NPI 1568541597
-
- Federally Qualified Health Center (FQHC)
- Pageland, SC
- NPI 1780398461
-
- Federally Qualified Health Center (FQHC)
- Ruby, SC
- NPI 1922584481
-
- Federally Qualified Health Center (FQHC)
- Kershaw, SC
- NPI 1386902542
-
- Federally Qualified Health Center (FQHC)
- Lugoff, SC
- NPI 1487712923
-
- Federally Qualified Health Center (FQHC)
- Camden, SC
- NPI 1720372949
-
- Federally Qualified Health Center (FQHC)
- Sumter, SC
- NPI 1780742825
-
- Federally Qualified Health Center (FQHC)
- MC Bee, SC
- NPI 1780640623
-
- Federally Qualified Health Center (FQHC)
- Jefferson, SC
- NPI 1912065467
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.