Active NPI
Jane Elizabeth Whiteside, NP
- Nurse Practitioner
- Bishopville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN3220
- Practice address
- 545 Sumter Hwy
Bishopville, SC 29010-7601 - Phone
- (803) 484-5317
- NPI assigned
- Jun 13, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN3220 | SC | Primary |
Addresses
Primary practice location
545 Sumter Hwy
Bishopville, SC 29010-7601
Mailing address
545 Sumter Hwy
Bishopville, SC 29010-7601
Phone (803) 484-5317
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00906571 | Other | SC | RAILROAD MEDICARE PTAN |
| NP1114 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Carolina School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
545 Sumter Hwy
Bishopville, SC 29010-7601
Phone (803) 484-5317
Hospital & facility affiliations
- Amedisys Home Health of Lexington
- Centerwell Home Health-Pee Dee
- Carolina Pines Regional Medical Center
- McLeod Regional Medical Center-Pee Dee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN3220 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caresouth Carolina, Inc. | Current | Accepting new patients | |
| Caresouth Carolina, Inc. | Current | Accepting new patients | |
| Caresouth Carolina, Inc | Past | Accepting new patients | |
| Caresouth Carolina, Inc | Past | Accepting new patients |
Locations
545 Sumter Hwy
Bishopville, SC 29010
Phone (803) 484-5317
1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422
Interoperability endpoints
- jane.whiteside@csci.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Hartsville, SC
- NPI 1720082571
-
- Federally Qualified Health Center (FQHC)
- MC Coll, SC
- NPI 1811930076
-
- Federally Qualified Health Center (FQHC)
- Society Hill, SC
- NPI 1194763714
-
- Federally Qualified Health Center (FQHC)
- Bishopville, SC
- NPI 1942247846
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lexington, SC
- NPI 1760430375
-
- Home Health Agency
- Florence, SC
- NPI 1528433521
-
- General Acute Care Hospital
- Hartsville, SC
- NPI 1174500458
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1740484757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 SUMTER HWY",
"city": "BISHOPVILLE",
"state": "SC",
"postal_code": "290107601",
"telephone_number": "803-484-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 SUMTER HWY",
"city": "BISHOPVILLE",
"state": "SC",
"postal_code": "290107601",
"telephone_number": "803-484-5317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDE",
"first_name": "JANE",
"middle_name": "ELIZABETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "APRN3220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00906571",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1114",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bishopville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.