NPIMap

Individual provider Active NPI

Josie Ann Gagum, FNP, BC

  • Family Nurse Practitioner
  • Florence, SC
National Provider Identifier
1710751383
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023125898 Issued in SC
Practice address
101 William H Johnson St Ste 600
Florence, SC 29506-2773
Phone
(843) 667-1891
Fax
(843) 665-2516
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023125898 SC Primary

Addresses

Primary practice location

101 William H Johnson St Ste 600
Florence, SC 29506-2773

Mailing address

1165 Radio Rd
Hemingway, SC 29554-5077
Phone (843) 625-0409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621000600 SC Practitioner - Nurse Practitioner 7719420504 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians
Medical University Hospital AuthorityGroup PAC ID 1557268950, shared by 43 NPIs, 218 clinicians

Practice addresses (Care Compare)

182 C Sea Island Pkwy
Beaufort, SC 29907-1503
Phone (843) 322-1933

500 Thurgood Marshall Hwy
Suite F
Kingstree, SC 29556-4143
Phone (843) 355-1772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023125898SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jun 15, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Nov 4, 2024 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Mar 19, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Nov 4, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jun 15, 2025 Accepting new patients
Medical University Hospital Authority Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

101 William H Johnson St
Ste 600
Florence, SC 29506
Phone (843) 667-1891

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

1515 Bells Hwy
Walterboro, SC 29488
Phone (843) 522-8223

Interoperability endpoints

  • Direct secure messaging: jgagum443653@direct.musc.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1710751383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 RADIO RD",
            "city": "HEMINGWAY",
            "state": "SC",
            "postal_code": "295545077",
            "telephone_number": "843-625-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H JOHNSON ST STE 600",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062773",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGUM",
        "first_name": "JOSIE",
        "middle_name": "ANN",
        "credential": "FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2023125898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.