Yvonne Brantley Church, NP
Individual provider Active NPI Nurse Practitioner · Florence, SC
NPI 1730909102 · NPPES record last updated Oct 11, 2024
Key facts
- NPI
- 1730909102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 28711 (SC)
- Practice address
- 555 E Cheves St
Florence, SC 29506-2617 - Phone
- (803) 435-5248
- NPI assigned
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLeod Health Cheraw
Practice addresses (Care Compare)
3032 E Hwy 76
Mullins, SC 29574-7396
Phone (843) 464-7111
Hospital & facility affiliations
- McLeod Health Cheraw
- Musc Health Marion Medical Center
- McLeod Regional Medical Center-Pee Dee
- McLeod Medical Center - Dillon
- McLeod Loris Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250401001438 | SC | Practitioner - Nurse Practitioner | 0749703684 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28711 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Cheraw | Current |
Accepting new patients | |
| McLeod Health Cheraw | Current |
Accepting new patients | |
| McLeod Health Cheraw | Current | Accepting new patients | |
| McLeod Physician Associates, Inc | Past | Accepting new patients |
Locations
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
3032 E Highway 76
Mullins, SC 29574
Phone (843) 292-7300
Interoperability endpoints
- ychurch93480@directmcleodehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28711 | SC | Yes |
Addresses
Primary practice location
555 E Cheves St
Florence, SC 29506-2617
Mailing address
10 E Hospital St
Manning, SC 29102-3153
Phone (803) 435-5248
NPI Registry JSON
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1730909102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E HOSPITAL ST",
"city": "MANNING",
"state": "SC",
"postal_code": "291023153",
"telephone_number": "803-435-5248",
"fax_number": "803-435-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E CHEVES ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062617",
"telephone_number": "803-435-5248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "YVONNE",
"middle_name": "BRANTLEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "28711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
- Christian Home Care LLC
- Stephen R Christian
- Christos Integrated Health and Wellness
- Dong Ha Chung
- Vicki Chung
- Amanda Rae Cieluch
- Circlepark Behavioral Health Serices
- Jamie Nichole Clapacs
- Chad W Clardie
- Julia Shayera Clardy-Hawn
All providers in Florence, SC · Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.