Shelly C Wilkerson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

61322 Issued in SC

Practice address

1330 Haile St
Camden, SC 29020-3002

Phone

(803) 432-6771

Fax

(803) 376-2870

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelly C Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Cardiovascular Care Group, PA

  • Cardiovascular Disease Physician
  • Columbia, SC
  • NPI 1730103276
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1710996129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041018",
            "telephone_number": "803-255-2655",
            "fax_number": "803-376-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 HAILE ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203002",
            "telephone_number": "803-432-6771",
            "fax_number": "803-376-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "SHELLY",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "61322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "TAYLOR",
            "middle_name": "C",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Faith Dupree White, M.ED. IN COUNSELING
• Silvania Rodrigues White
• Barbara Yvonne Whitehall, LMSW
• Krystyn Whitty
• Brittany Wilder, APRN
• Jessica Epps Wilkes, DNP, APRN, FNP-BC
• Sarah Wilkes, ACNP
• William Biggins & Associates
• Williams Consultant Group LLC
• Bethany Geneise Williams, LPC

• Family Nurse Practitioner in Camden, SC
• Providers in Camden, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.