Active NPI
Erin Broxton, DNP, PNP-PC
- Pediatric Nurse Practitioner
- Aiken, SC
National Provider Identifier
1730749045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 22949
- Practice address
- 206 Centre South Blvd
Aiken, SC 29803-6319 - Phone
- (803) 642-9204
- NPI assigned
- Jun 18, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 22949 | SC | Primary |
Addresses
Primary practice location
206 Centre South Blvd
Aiken, SC 29803-6319
Mailing address
206 Centre South Blvd
Aiken, SC 29803-6319
Phone (803) 991-3499
Other names 1
- Erin Marie Delmore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22949 | SC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Medical Management, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Lexington, SC
- NPI 1114196557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1730749045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 CENTRE SOUTH BLVD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298036319",
"telephone_number": "803-991-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 CENTRE SOUTH BLVD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298036319",
"telephone_number": "803-642-9204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROXTON",
"first_name": "ERIN",
"credential": "DNP, PNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "22949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "DELMORE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.