Suzette Dennis Dillard, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN28139RX Issued in NC

Practice address

126 N Pearl St
Pageland, SC 29728-1925

Phone

(438) 675-5004

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC, 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Sandhills Medical Foundation, Inc.Group PAC ID 8224949821, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
• Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119
• Atrium Health Union Hospital, Monroe, NC, CCN 340130
• Atrium Health Anson Hospital, Wadesboro, NC, CCN 340084

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94 of 100Reported as apm

Quality

81.63

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdillard24598@carolinashealthcaresystem.direct-ci.com

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.

• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bethune, SC
  • NPI 1083228779

  SC

  Medicare reassignment Care Compare group NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • McBee, SC
  • NPI 1568541597

  SC

  Medicare reassignment Care Compare group NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pageland, SC
  • NPI 1780398461

  SC

  Medicare reassignment Care Compare group NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ruby, SC
  • NPI 1922584481

  SC

  Medicare reassignment Care Compare group NPD
• The Charlotte-Mecklenburg Hospital Authority

  • Medical Oncology Physician
  • Indian Land, SC
  • NPI 1669738829

  NC

  Medicare reassignment NPD
• Carolinas Physicians Network Inc

  • Orthopaedic Surgery Physician
  • Charlotte, NC
  • NPI 1437607686

  NC

  Medicare reassignment NPD
• Carolinas Physicians Network Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charlotte, NC
  • NPI 1477878890

  NC

  Medicare reassignment NPD
• Columbus Regional Health Network

  • Hospitalist Physician
  • Whiteville, NC
  • NPI 1508001009

  NC

  Medicare reassignment NPD
• Scotland Regional Health Network

  • Hospitalist Physician
  • Laurinburg, NC
  • NPI 1972829562

  NC

  Medicare reassignment NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kershaw, SC
  • NPI 1386902542
  Care Compare group NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lugoff, SC
  • NPI 1487712923
  Care Compare group NPD
• Sandhills Medical Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Camden, SC
  • NPI 1720372949
  Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Care Resources of South Carolina, LLC

  • Home Health Agency
  • Florence, SC
  • NPI 1528433521
  Care Compare affiliation
• Atrium Health Hospitals Inc

  • General Acute Care Hospital
  • Albemarle, NC
  • NPI 1104627926

  Hospital

  Care Compare affiliation
• Atrium Health Hospitals Inc

  • Psychiatric Hospital Unit
  • Albemarle, NC
  • NPI 1740081553

  Hospital

  Care Compare affiliation
• Atrium Health Hospitals Inc

  • General Acute Care Hospital
  • Wadesboro, NC
  • NPI 1891596607

  Hospital

  Care Compare affiliation
• The Charlotte-Mecklenburg Hospital Authority

  • General Acute Care Hospital
  • Monroe, NC
  • NPI 1396790325

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1851964571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N PEARL ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297281925",
            "telephone_number": "704-289-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N PEARL ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297281925",
            "telephone_number": "438-675-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Blythe Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035812",
            "country_code": "US",
            "telephone_number": "704-355-0720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Vail Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071248",
            "country_code": "US",
            "telephone_number": "704-304-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10628 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108407",
            "country_code": "US",
            "telephone_number": "704-667-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 N Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623300",
            "country_code": "US",
            "telephone_number": "704-863-6241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "SUZETTE",
        "middle_name": "DENNIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5014207",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5014207",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "APN28139RX",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "APN28139RX",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5014207",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "APN28138RX",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5014207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdillard24598@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "2301 US Highway 74 W",
            "city": "Wadesboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281707554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolinas Physicians Network Inc
• Crystal B Clark, FNP-C
• Community Transit Care LLC
• Clarissa Covington
• Ronald Eli Dickerson Jr., PHARM D.
• DS Transpo
• Joan Dubose, PHD, LPCS, LCMHCS
• Dva Renal Healthcare Inc
• Kelly Taylor Eastergard, NP
• Elite Community Counseling

• All providers in Pageland, SC
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.