Individual provider Active NPI

Sybil Tezza, FNP

  • Family Nurse Practitioner
  • Travelers Rest, SC
National Provider Identifier
1750801791
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21084 Issued in SC
Practice address
1 Havenwood LN
Travelers Rest, SC 29690-9447
Phone
(864) 834-8013
NPI assigned
Jun 21, 2017
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21084 SC Primary

Addresses

Primary practice location

1 Havenwood LN
Travelers Rest, SC 29690-9447

Mailing address

105 Faulkner Cir
Greer, SC 29651-2200
Phone (864) 706-6409

Other identifiers 4

IdentifierTypeStateIssuer
SCC5036067OtherSCMEDICARE PIN
NP5526MedicaidSC
SCC5036084OtherSCMEDICARE PIN
SCC503J577OtherSCMEDICARE PIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180521000498 SC Practitioner - Nurse Practitioner 7719242833 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6000

1200 E Main St
Suite 12
Spartanburg, SC 29307-1738
Phone (864) 560-9260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Nov 11, 2019 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Cherokee Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Cherokee Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Chestnut Hill Mental Health Center, Inc Current Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Nov 17, 2018 Accepting new patients
Spartanburg Medical Center CurrentSince Jun 1, 2023 Accepting new patients
Chestnut Hill Mental Health Center, Inc. CurrentSince Feb 24, 2018 Accepting new patients
Spartanburg Medical Center CurrentSince Nov 17, 2018 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

1 Havenwood Ln
Travelers Rst, SC 29690
Phone (864) 834-8013

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1750801791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FAULKNER CIR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296512200",
            "telephone_number": "864-706-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAVENWOOD LN",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909447",
            "telephone_number": "864-834-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEZZA",
        "first_name": "SYBIL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCC5036067",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5526",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCC5036084",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCC503J577",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

Verify at the official NPI Registry.