Individual provider Active NPI

Selina Faye White, APRN

  • Gerontology Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1699333427
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
22620 Issued in SC
Practice address
500 Pinewood Rd Ste 2
Sumter, SC 29154-6197
Phone
(803) 773-4663
Fax
(803) 774-9780
NPI assigned
Jun 5, 2019
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 22620 SC Primary

Addresses

Primary practice location

500 Pinewood Rd Ste 2
Sumter, SC 29154-6197

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Phone (800) 491-0909

Other practice location 2

1 Richland Medical Park Dr Ste 100
Columbia, SC 29203-6834
Phone (803) 434-6095

Other identifiers 1

IdentifierTypeStateIssuer
NP6319MedicaidSC

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
I20191108002315 SC Practitioner - Nurse Practitioner 3375975501 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1 Richland Medical Park Dr
Suite 100
Columbia, SC 29203-6834
Phone (803) 434-2020

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

604 S Coit St
Florence, SC 29501-5223
Phone (843) 407-4006

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Oct 14, 2019 Accepting new patients
Prisma Health Medical Group-Midlands Current Accepting new patients
SC House Calls Inc CurrentSince Oct 14, 2019 Accepting new patients
Life Savior Palliative Care LLC Gerontology CurrentSince Mar 1, 2025 Accepting new patients
Life Savior in Home Patient Care, LLC CurrentSince Sep 24, 2023 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Oct 3, 2021 Accepting new patients
Life Savior Transportation, LLC Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Oct 3, 2021 Accepting new patients

Locations

1 Richland Medical Park Dr
Ste 100
Columbia, SC 29203
Phone (803) 434-6095

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

2724 W Palmetto St
Ste 5
Florence, SC 29501
Phone (704) 437-1987

604 S Coit St
Florence, SC 29501
Phone (843) 407-6972

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

500 Pinewood Rd
Ste 2
Sumter, SC 29154
Phone (803) 773-4663

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: swhite523223@direct.ghs.myhfn.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1699333427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PINEWOOD RD STE 2",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291546197",
            "telephone_number": "803-773-4663",
            "fax_number": "803-774-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1053 Center Street",
            "address_2": "SC House Calls Inc",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "29169",
            "country_code": "US",
            "telephone_number": "800-491-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Richland Medical Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036834",
            "country_code": "US",
            "telephone_number": "803-434-6095",
            "fax_number": "803-758-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SELINA",
        "middle_name": "FAYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "22620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP6319",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.