Individual provider Active NPI

Ashley Buntura, NP

  • Nurse Practitioner
  • Conway, SC
National Provider Identifier
1871106955
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23881 Issued in SC
Practice address
224 Haley Brooke Dr
Conway, SC 29526-6399
Phone
(843) 254-9146
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 23881 SC Primary

Addresses

Primary practice location

224 Haley Brooke Dr
Conway, SC 29526-6399

Mailing address

224 Haley Brooke Dr
Conway, SC 29526-6399
Phone (843) 254-9146

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
I20210413001930 SC Practitioner - Nurse Practitioner 3072921949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PH Health Care Services IncGroup PAC ID 2163683012, 13 clinicians

Practice addresses (Care Compare)

4741 Hwy 153
Suite B
Easley, SC 29642-9161
Phone 8648872600918414

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23881SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Center of Columbia, PC CurrentSince Jan 1, 2024 Accepting new patients
PH Health Care Services Inc CurrentSince May 7, 2024 Accepting new patients
Starting Point of Florence, Inc CurrentSince Jan 22, 2024 Accepting new patients
Starting Point of Darlington, LLC CurrentSince Jan 1, 2024 Accepting new patients
Crossroads Treatment Center of Greenville, PC CurrentSince Jan 1, 2024 Accepting new patients
PH Healthcare Services, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Crossroads Treatment Center of Charleston, PC CurrentSince Jan 1, 2024 Accepting new patients
Crossroads Treatment Center of Seneca, PC CurrentSince Jan 1, 2024 Accepting new patients
Center of Hope of Myrtle Beach, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1421 Bluff Rd
Columbia, SC 29201
Phone (803) 733-5855

1341 N Cashua Dr
Florence, SC 29501
Phone (843) 673-9320

157 Brozzini Ct
#A
Greenville, SC 29615
Phone (864) 288-7636

1451 Retail Row
Hartsville, SC 29550
Phone (843) 383-4828

104 George Bishop Pkwy
Myrtle Beach, SC 29579
Phone (843) 903-6212

209 Oconee Square Dr
Seneca, SC 29678
Phone (864) 772-7913

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1871106955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HALEY BROOKE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295266399",
            "telephone_number": "843-254-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HALEY BROOKE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295266399",
            "telephone_number": "843-254-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTURA",
        "first_name": "ASHLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "23881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.