Individual provider Active NPI

Sonya A Good, APRN

  • Gerontology Nurse Practitioner
  • Hilton Head Island, SC
National Provider Identifier
1780234773
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
24994 Issued in SC
Practice address
20 Lady Slipper LN
The Cypress Club Clinic
Hilton Head Island, SC 29926
Phone
(843) 682-7159
NPI assigned
Sep 12, 2019
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 24994 SC Primary

Addresses

Primary practice location

20 Lady Slipper LN
The Cypress Club Clinic
Hilton Head Island, SC 29926

Mailing address

27 Cobblestone CT
Hilton Head Island, SC 29928-1524
Phone (438) 959-0278

Other names 1

  • Sonya A Brickner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EPIC Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200526000166 WI Practitioner - Nurse Practitioner 5799106977 Reassigns benefits to 2 organizations
I20210624003406 SC Practitioner - Nurse Practitioner 5799106977 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Curana Health of South Carolina PCGroup PAC ID 1951672617, 226 clinicians
CH Specialty Services SC LLCGroup PAC ID 6608182993, 222 clinicians

Practice addresses (Care Compare)

255 Midland Pkwy
Summerville, SC 29485-8104
Phone (737) 226-6700

6650 Rivers Ave
North Charleston, SC 29406-4809
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24994SCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rafael D Sanchez Medical Services LLC CurrentSince Jan 3, 2023 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
CH Specialty Services SC LLC CurrentSince Dec 17, 2024 Accepting new patients
Curana Health of South Carolina PC CurrentSince Dec 17, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince May 16, 2020 Accepting new patients
The Cypress Club, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Gundersen Clinic LTD CurrentSince May 16, 2020 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince May 16, 2020 Accepting new patients

Locations

101 S Hill St
La Crescent, MN 55947
Phone (507) 895-4445

123 5th Ave SE
Spring Grove, MN 55974
Phone (507) 498-3302

20 Ladyslipper Ln
Hilton Head Island, SC 29926
Phone (843) 689-7000

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

713 Leonard St N
West Salem, WI 54669
Phone (608) 786-1600

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1780234773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COBBLESTONE CT",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299281524",
            "telephone_number": "438-959-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LADY SLIPPER LN",
            "address_2": "THE CYPRESS CLUB CLINIC",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "29926",
            "telephone_number": "843-682-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "SONYA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "24994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "EPIC Secure Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1910 South Ave",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546015467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SONYA",
            "last_name": "BRICKNER",
            "middle_name": "A",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.