Summerton Primary Care

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN174 Issued in SC

Legal business name

SUMMERTON PRIMARY CARE

Practice address

123 Main St
Summerton, SC 29148

Phone

(803) 488-8888

Fax

(803) 488-0111

NPI assigned

Dec 21, 2016

Last updated

Feb 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale S Barwick, ANPNPI 1114052255

Title

Anp

Phone

(803) 488-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dale Scurry Barwick, ANP

  • Adult Health Nurse Practitioner
  • Summerton, SC
  • NPI 1114052255
  Authorized official Same address or phone

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1740725100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "address_2": "123 MAIN ST",
            "city": "SUMMERTON",
            "state": "SC",
            "postal_code": "291480069",
            "telephone_number": "803-488-8888",
            "fax_number": "803-488-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAIN ST",
            "city": "SUMMERTON",
            "state": "SC",
            "postal_code": "29148",
            "telephone_number": "803-488-8888",
            "fax_number": "803-488-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERTON PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "BARWICK",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ANP",
        "authorized_official_telephone_number": "803-488-8888",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "APN174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7622",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summerton Drugs Compounding and Dispensary
• Summerton Drugs Compounding and Dispensary
• Summerton Drugs Inc
• Summerton Drugs Inc (Summerton Drugs)
• Summerton Family Medicine LLC
• Harold R Waynick Jr.
• Sydney Wells, OTL/R
• Welvista (Summerton Smiles for a Lifetime)
• Jessica H Yount, OTR/L

• Adult Health Nurse Practitioner in Summerton, SC
• Providers in Summerton, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.