Cassandra Shivar Parker, FNP-BC
Individual provider Active NPI Nurse Practitioner · Greenville, SC
NPI 1962190090 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1962190090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN224536 (GA)
- Practice address
- 220 N Main St Ste 500
Greenville, SC 29601-2129 - Phone
- (929) 299-4428
- Fax
- (929) 299-4428
- NPI assigned
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Che Behavioral Health Services of South Carolina PC
Practice addresses (Care Compare)
220 N Main St
Suite 500
Greenville, SC 29601-2129
Phone (800) 275-3243
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230811002559 | SC | Practitioner - Nurse Practitioner | 5698137396 | Reassigns benefits to 3 organizations |
| I20250131002331 | GA | Practitioner - Nurse Practitioner | 5698137396 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN224536 | GA | MD | Nurse Practitioner |
| 212045 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Jasper Hampton Comprehensive Health Services, Inc | Current |
Accepting new patients | |
| Che Behavioral Health Services of South Carolina, P.C. | Multi-Specialty | Current |
Accepting new patients |
| Christopher Dennis MD PLLC | Multi-Specialty | Current |
Accepting new patients |
| Lowcountry Urgent Care LLC | Multi-Specialty | Current |
Accepting new patients |
| Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Multi-Specialty | Current |
Accepting new patients |
| Carolina Home Hospice Corporation | Past |
Accepting new patients | |
| Hospice Advantage, LLC. | Past |
Accepting new patients |
Locations
1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902
11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159
272 Robert Smalls Pkwy
Ste 320
Beaufort, SC 29906
Phone (843) 521-4357
21 Robert Smalls Pkwy
Beaufort, SC 29906
Phone (803) 272-0702
182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933
220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414
721 Okatie Hwy
Okatie, SC 29909
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EICIBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 212045 | SC | |
| Nurse Practitioner |
363L00000X | RN224536 | GA | Yes |
Addresses
Primary practice location
220 N Main St Ste 500
Greenville, SC 29601-2129
Mailing address
10 Big Oak St
Hilton Head Island, SC 29926-1140
Phone (843) 460-0962
Other practice location 1
1718 Ribaut Rd
Port Royal, SC 29935-1927
Phone (843) 987-7400
Other practice location 2
10911 N Jacob Smart Blvd Ste B
Ridgeland, SC 29936-2729
Phone (843) 645-6540
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962190090 | Medicaid | SC |
Other providers in Greenville, SC
- Parker Road Drugs, Inc
- Parker Road Drugs, Inc
- Amanda Parker
- Anne V. Parker
- Austin Parker
- Colleen M Parker
- Dana Rafferty Parker
- Darlene Parker
- Gilbert Parker Jr.
- H Graham Parker II
All providers in Greenville, SC · Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.