Active NPI
Elizabeth Louise Philmon, APRN
- Family Nurse Practitioner
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23987
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201019003069 | SC | Practitioner - Nurse Practitioner | 7911327622 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keowee Primary Care & Internal Medicine PC | Current | Accepting new patients | |
| Guardian Biologics LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Rebirth Advanced Healing LLC | Current | Accepting new patients | |
| Medi Urgent Care Center Inc | Past | Accepting new patients | |
| Woodruff Road Urgent Care Center, P.C. | Past | 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.
-
- Specialist
- Johnson City, TN
- NPI 1174390413
-
- Urgent Care Clinic/Center
- Seneca, SC
- NPI 1225075468
-
- Primary Care Clinic/Center
- Powdersville, SC
- NPI 1205475001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.