Individual provider Active NPI

Ashley V. Watts, APRN

  • Family Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1992287312
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22180 Issued in SC
Practice address
Agape Senior Primary Care Inc
1053 Center Street
West Columbia, SC 29169-6749
Phone
(800) 491-0909
NPI assigned
Sep 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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 22180 SC Primary

Addresses

Primary practice location

Agape Senior Primary Care Inc
1053 Center Street
West Columbia, SC 29169-6749

Mailing address

Agape Senior Primary Care Inc
1053 Center Street
West Columbia, SC 29169-6749
Phone (800) 491-0909

Other identifiers 2

IdentifierTypeStateIssuer
22180OtherSCSOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING, AND REGULATION
F08180491OtherAAPN

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
I20190211000844 SC Practitioner - Nurse Practitioner 6204174618 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22180SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Jan 14, 2019 Accepting new patients
SC House Calls Inc CurrentSince Jan 14, 2019 Accepting new patients
Curana Health of South Carolina PC CurrentSince Dec 12, 2023 Accepting new patients
CH Specialty Services SC LLC Family CurrentSince May 15, 2023 Accepting new patients

Locations

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1992287312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AGAPE SENIOR PRIMARY CARE INC",
            "address_2": "1053 CENTER STREET",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696749",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AGAPE SENIOR PRIMARY CARE INC",
            "address_2": "1053 CENTER STREET",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696749",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "ASHLEY",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-01",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING, AND REGULATION",
            "identifier": "22180",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAPN",
            "identifier": "F08180491",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.