Individual provider Active NPI

Heather Trotter

  • Pediatric Nurse Practitioner
  • North Augusta, SC
National Provider Identifier
1770969669
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
19632 Issued in SC
Practice address
616 Edgefield Rd Ste 180
North Augusta, SC 29841-6407
Phone
(803) 961-5001
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 19632 SC Primary

Addresses

Primary practice location

616 Edgefield Rd Ste 180
North Augusta, SC 29841-6407

Mailing address

10 Estate Drive
Edgefield, SC 29824

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
I20190211002678 SC Practitioner - Nurse Practitioner 5698013043 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19632SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare Partners CurrentSince Jan 1, 2019 Accepting new patients
Self Regional Healthcare Partners Current Accepting new patients
Self Regional Healthcare Partners CurrentSince Jan 1, 2019 Accepting new patients
Sweetgrass Pediatrics Past Accepting new patients
University Cardiology Associates LLC Past Accepting new patients

Locations

155 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3146

155 Ridge Medical Plaza Rd
#B
Edgefield, SC 29824
Phone (803) 637-3630

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

Interoperability endpoints

  • Direct secure messaging: htrotter337743@selfregional.direct-ci.net

Organizations & group practices 5

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1770969669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ESTATE DRIVE",
            "city": "EDGEFIELD",
            "state": "SC",
            "postal_code": "29824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 EDGEFIELD RD STE 180",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298416407",
            "telephone_number": "803-961-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "19632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.