Tia Carpenter, DNAP
Individual provider Active NPI Certified Registered Nurse Anesthetist · Spartanburg, SC
NPI 1861135337 · NPPES record last updated May 23, 2024
Key facts
- NPI
- 1861135337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 28756 (SC)
- Practice address
- 101 E Wood St
Spartanburg, SC 29303-3040 - Phone
- (304) 481-9469
- NPI assigned
- Apr 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spartanburg Medical Center
Practice addresses (Care Compare)
101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6193
Hospital & facility affiliations
- Spartanburg Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240626000856 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6305380858 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257038 | SC | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current |
Accepting new patients | |
| Spartanburg Medical Center | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Pelham Medical Center | Current |
Accepting new patients | |
| Pelham Medical Center | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients |
Locations
250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 257038 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 28756 | SC | Yes |
Addresses
Primary practice location
101 E Wood St
Spartanburg, SC 29303-3040
Mailing address
407 Foxhound Rd
Simpsonville, SC 29680-6716
Phone (304) 481-9469
Other providers in Spartanburg, SC
- Carolina Wellness Clinic, LLC
- Carolina-in-Home-Aide,LLC
- Carolinas Center for Advanced Management of Pain, LLC
- Carolinas Pathology Group, PA
- Kimberly M Carpenter
- Emilie Suzanne Carr
- Paolo Carrelli
- Stefanie Carrigan
- Charlie Carrouth
- Kristy Lee Ann Carruthers
All providers in Spartanburg, SC · Certified Registered Nurse Anesthetist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.