Active NPI
Selina Faye White, APRN
- Gerontology Nurse Practitioner
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 22620
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP6319 | Medicaid | SC |
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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Life Savior Palliative Care LLC | Gerontology | Current | Accepting new patients |
| Life Savior in Home Patient Care, LLC | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Life Savior Transportation, LLC | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | 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
- 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.
-
- Gerontology Nurse Practitioner
- Florence, SC
- NPI 1558178996
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- In Home Supportive Care Agency
- Florence, SC
- NPI 1801675665
-
- Non-emergency Medical Transport (VAN)
- Florence, SC
- NPI 1871359844
-
- Family Medicine Physician
- Sumter, SC
- NPI 1871080283
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical Services of America Hospice - Coastal
- Community Based Hospice Care Agency
- Myrtle Beach, SC
- NPI 1952350019
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.