Individual provider Active NPI

Corinne Elliott, FNP-C

  • Family Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1952853210
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28293 Issued in SC
Practice address
301 N Main St
Summerville, SC 29483-6417
Phone
(843) 871-0310
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 28293 SC Primary

Addresses

Primary practice location

301 N Main St
Summerville, SC 29483-6417

Mailing address

301 N Main St
Summerville, SC 29483-6417
Phone (843) 871-0310

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
I20240503000422 SC Practitioner - Nurse Practitioner 8820438195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic South Carolina LLCGroup PAC ID 8527126861, 113 clinicians

Practice addresses (Care Compare)

1602 Central Ave
Summerville, SC 29483-9312
Phone (866) 389-2727

1676 N Hwy 17
Mount Pleasant, SC 29464-3310
Phone (866) 389-2727

301 N Main St
Summerville, SC 29483-6417
Phone (866) 389-2727

5215 Ashley Phosphate Rd
North Charleston, SC 29418-2823
Phone (866) 389-2727

698 Fairview Rd
Simpsonville, SC 29680-6708
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Apr 11, 2024 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Apr 24, 2024 Accepting new patients
Minuteclinic Primary Care South Carolina LLC Family CurrentSince Sep 17, 2025 Accepting new patients

Locations

2566 Ashley River Rd
Charleston, SC 29414
Phone (843) 405-7478

8995 University Blvd
North Charleston, SC 29406
Phone (843) 410-0701

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

301 N Main St
Summerville, SC 29483
Phone (843) 834-7877

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1952853210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836417",
            "telephone_number": "843-871-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836417",
            "telephone_number": "843-871-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "CORINNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.