Active NPI
Betina Boamah Ofori, PNP, RN
- Pediatric Nurse Practitioner
- Lancaster, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 18988
- Practice address
- 834 W Meeting St Ste C
Lancaster, SC 29720-6220 - Phone
- (803) 313-3846
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 18988 | SC | Primary |
| Registered Nurse | 163W00000X | 18988 | SC |
Addresses
Primary practice location
834 W Meeting St Ste C
Lancaster, SC 29720-6220
Mailing address
1170 Bannockburn Ave
Rock Hill, SC 29732-1095
Phone (703) 589-6186
Other practice location 1
1656 Riverchase Blvd Ste 3400
Rock Hill, SC 29732-0273
Phone (803) 328-6281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4435 Golf Acres Dr
Charlotte, NC 28208-5947
PO Box
Suite 19305
Charlotte, NC 28219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18988 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Current | Accepting new patients |
Locations
10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1656 Riverchase Blvd
Ste 3400
Rock Hill, SC 29732
Phone (803) 328-6281
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1922414747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 BANNOCKBURN AVE",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321095",
"telephone_number": "703-589-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 W MEETING ST STE C",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297206220",
"telephone_number": "803-313-3846"
}
],
"practiceLocations": [
{
"address_1": "1656 Riverchase Blvd Ste 3400",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "297320273",
"country_code": "US",
"telephone_number": "803-328-6281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OFORI",
"first_name": "BETINA",
"middle_name": "BOAMAH",
"credential": "PNP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "18988",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "18988",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.