Active NPI
Latroy Omar Dingle, APRN, FNP-BC
- Nurse Practitioner
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 24151
- Practice address
- 17 E Stone Ave FL 12
Greenville, SC 29609-5671 - Phone
- (866) 849-0692
- Fax
- (888) 973-8821
- NPI assigned
- Oct 19, 2020
- Last updated
- Oct 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 24151 | SC | Primary |
Addresses
Primary practice location
17 E Stone Ave FL 12
Greenville, SC 29609-5671
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
Other practice location 1
100 W Liberty St
Sumter, SC 29150-5142
Phone (803) 939-6143
Other practice location 2
PO Box 811699
Eagan, MN 55121
Phone (866) 849-0692
Other practice location 3
3 Richland Medical Park Dr Ste 120
Columbia, SC 29203-6850
Phone (803) 434-8866
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Health Solutions LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Nurse Practitioner, SC
-
- Family Nurse Practitioner
- Columbia, SC
- NPI 1699625152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1932708146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E STONE AVE FL 12",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296095671",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
}
],
"practiceLocations": [
{
"address_1": "100 W Liberty St",
"address_purpose": "LOCATION",
"city": "Sumter",
"state": "SC",
"postal_code": "291505142",
"country_code": "US",
"telephone_number": "803-939-6143",
"fax_number": "803-938-5338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "PO BOX 811699",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "55121",
"country_code": "US",
"telephone_number": "866-849-0692",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Richland Medical Park Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036850",
"country_code": "US",
"telephone_number": "803-434-8866",
"fax_number": "803-933-3049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DINGLE",
"first_name": "LATROY",
"middle_name": "OMAR",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-19",
"last_updated": "2026-10-08",
"certification_date": "2026-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "24151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.