Individual provider Active NPI

Abby White, CPNP

  • Pediatric Nurse Practitioner
  • Newberry, SC
National Provider Identifier
1780452144
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
28164 Issued in SC
Practice address
2525 Kinard St
Newberry, SC 29108-2909
Phone
(803) 405-0220
Fax
(803) 405-0222
NPI assigned
Dec 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 28164 SC Primary

Addresses

Primary practice location

2525 Kinard St
Newberry, SC 29108-2909

Mailing address

2525 Kinard St
Newberry, SC 29108-2909
Phone (803) 405-0220

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
I20250321002655 SC Practitioner - Nurse Practitioner 6406378140 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Feb 10, 2025 Accepting new patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Feb 10, 2025 Accepting new patients
Pediatric Associates PA PastSince Dec 17, 2023 Accepting new patients
South Carolina Pediatrics Alliance, LLC Past Accepting new patients

Locations

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

1228 Harden St
Ste B
Columbia, SC 29204
Phone (803) 744-0540

2525 Kinard St
Newberry, SC 29108
Phone (803) 276-4860

Interoperability endpoints

  • Direct secure messaging: abby.white.1@10781.direct.athenahealth.com

Organizations & group practices 4

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": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1780452144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082909",
            "telephone_number": "803-405-0220",
            "fax_number": "803-405-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082909",
            "telephone_number": "803-405-0220",
            "fax_number": "803-405-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ABBY",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "28164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

Verify at the official NPI Registry.