Individual provider Active NPI

Elizabeth Louise Philmon, APRN

  • Family Nurse Practitioner
  • Seneca, SC
National Provider Identifier
1770100463
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23987 Issued in SC
Practice address
111 Carter Park Dr # a
Seneca, SC 29678-1152
Phone
(864) 882-1420
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 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 23987 SC Primary

Addresses

Primary practice location

111 Carter Park Dr # a
Seneca, SC 29678-1152

Mailing address

33 Byrd Blvd
Greenville, SC 29605-1105
Phone (864) 882-1420

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
I20201019003069 SC Practitioner - Nurse Practitioner 7911327622 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keowee Primary Care & Internal Medicine PC CurrentSince Jul 17, 2020 Accepting new patients
Guardian Biologics LLC CurrentSince Nov 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 23, 2023 Accepting new patients
Rebirth Advanced Healing LLC CurrentSince Dec 1, 2023 Accepting new patients
Medi Urgent Care Center Inc PastSince Jul 5, 2020 Accepting new patients
Woodruff Road Urgent Care Center, P.C. PastSince Dec 29, 2019 Accepting new patients

Locations

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

109 Carter Park Dr
#3A
Seneca, SC 29678
Phone (864) 885-0058

109 Carter Park Dr
Ste 3A
Seneca, SC 29678
Phone (864) 882-1420

111 Carter Park Dr
#A
Seneca, SC 29678
Phone (864) 882-1420

207 E Main St
Ste 3A2
Johnson City, TN 37604
Phone (833) 870-0904

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1770100463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BYRD BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051105",
            "telephone_number": "864-882-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CARTER PARK DR # A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781152",
            "telephone_number": "864-882-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILMON",
        "first_name": "ELIZABETH",
        "middle_name": "LOUISE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.