Kimberly Cogdill, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20156 Issued in SC

Practice address

110 E Dekalb St Ste C
Camden, SC 29020-4432

Phone

(803) 713-0806

NPI assigned

Oct 12, 2016

Sex

Female

Sole proprietor

No

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.

• Community Medical Clinic of Kershaw County

  • Community Health Clinic/Center
  • Camden, SC
  • NPI 1972971117
  NPD (past)
• Spartanburg Medical Center

  • Obstetrics & Gynecology Physician
  • Spartanburg, SC
  • NPI 1376580852
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2022.

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1720538804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290210217",
            "telephone_number": "803-713-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E DEKALB ST STE C",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204432",
            "telephone_number": "803-713-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGDILL",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony Childs
• David P. Christenberry, MD
• Skyler Clark Christensen, DDS
• Stephanie Clark-White
• Lisa Cleary, MS, CCC-SLP
• Jennifer Dawn Colby
• Colonial Family Practice, LLC
• Elizabeth Moriarty Combs, MA
• Communities in Schools Kershaw County
• Community Medical Clinic of Kershaw County

• All providers in Camden, SC
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.