Active NPI
Corrine Smith, NP
- Gerontology Nurse Practitioner
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 29317
- Practice address
- 131 Lila Doyle Dr
Seneca, SC 29672-9495 - Phone
- (864) 888-3717
- Fax
- (864) 672-7852
- NPI assigned
- Sep 21, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2021037182 | MO | |
| Gerontology Nurse Practitioner | 363LG0600X | 29317 | SC | Primary |
Addresses
Primary practice location
131 Lila Doyle Dr
Seneca, SC 29672-9495
Mailing address
300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8611
Other practice location 1
371 S Broadview St
Cape Girardeau, MO 63703-5761
Phone (573) 519-4823
Other names 1
- Corrine Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
131 Lila Doyle Dr
Seneca, SC 29672-9495
Phone (864) 888-3717
Hospital & facility affiliations
- Prisma Health Greenville Memorial Hospital
- Prisma Health Oconee Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients |
Locations
371 S Broadview St
Cape Girardeau, MO 63703
Phone (573) 331-6710
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
200 Fleetwood Dr
Ste 200
Easley, SC 29640
Phone (864) 442-8090
300 E McBee Ave
Ste 300
Greenville, SC 29601
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
3 Butternut Dr
Ste B
Greenville, SC 29605
Phone (864) 241-7272
131 Lila Doyle Dr
Seneca, SC 29672
Phone (864) 886-1911
Interoperability endpoints
- csmith826050@direct.ghs.myhfn.org
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
Hospital & facility affiliations 42
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seneca, SC
- NPI 1063968196
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1366998460
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1396207221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1992476923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012899",
"telephone_number": "864-522-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 LILA DOYLE DR",
"city": "SENECA",
"state": "SC",
"postal_code": "296729495",
"telephone_number": "864-888-3717",
"fax_number": "864-672-7852"
}
],
"practiceLocations": [
{
"address_1": "371 S Broadview St",
"address_purpose": "LOCATION",
"city": "Cape Girardeau",
"state": "MO",
"postal_code": "637035761",
"country_code": "US",
"telephone_number": "573-519-4823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "CORRINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2021037182",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "SC",
"license": "29317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORRINE",
"last_name": "WILSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.