Individual provider Active NPI

Demonica Robinson Dunifer, FNP-C

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1881175487
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22167 Issued in SC
Practice address
220 N Main St Ste 500
Greenville, SC 29601-2129
Phone
(833) 445-5995
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22167 SC Primary

Addresses

Primary practice location

220 N Main St Ste 500
Greenville, SC 29601-2129

Mailing address

819 Abilene LN
Fort Mill, SC 29715-5916
Phone (803) 519-7177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, VA, IN, OH5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20181119002356 SC Practitioner - Nurse Practitioner 0143574673 Reassigns benefits to 1 organization
I20210512000290 NC Practitioner - Nurse Practitioner 0143574673 Reassigns benefits to 1 organization
I20231025003520 VA Practitioner - Nurse Practitioner 0143574673 Reassigns benefits to 1 organization
I20240103000991 IN Practitioner - Nurse Practitioner 0143574673 Reassigns benefits to 1 organization
I20260331001980 OH Practitioner - Nurse Practitioner 0143574673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stateline Medical Transportation, LLC CurrentSince Mar 27, 2022 Accepting new patients
Caremore Medical Group of North Carolina, PC CurrentSince May 15, 2025 Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1881175487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 ABILENE LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297155916",
            "telephone_number": "803-519-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST STE 500",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012129",
            "telephone_number": "833-445-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNIFER",
        "first_name": "DEMONICA",
        "middle_name": "ROBINSON",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.