Shannon Joy Smith, APRN, AGPCNP-BC | |
255 Enterprise Blvd Ste 101, Greenville, SC 29615-3530 | |
(864) 454-8120 | |
(864) 454-8125 |
Full Name | Shannon Joy Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 255 Enterprise Blvd Ste 101, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750925392 | NPI | - | NPPES |
PENDING | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 22971 (South Carolina) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 22971 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
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Shannon Joy Smith, APRN, AGPCNP-BC 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Shannon Joy Smith, APRN, AGPCNP-BC 255 Enterprise Blvd Ste 101, Greenville, SC 29615-3530 Ph: (864) 454-8120 |
Jennifer Hardy Singletary, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Verdae Blvd Ste 150, Greenville, SC 29607 Phone: 864-720-1900 Fax: 864-720-1901 | |
Tracey Ann Hoxie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3807 White Horse Rd Ste Dande, Greenville, SC 29611 Phone: 864-236-5688 | |
Matthew Keaton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 357 Woodruff Rd, Greenville, SC 29607 Phone: 864-522-8350 | |
Jason Collins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7000 | |
Mary Katelyn Hodges, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2210 Laurens Rd, Greenville, SC 29607 Phone: 864-288-8280 | |
Mr. Matthew Fischer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 864-454-8125 | |
Rebecca Dawn Leicht, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Wade Hampton Blvd Ste 120, Greenville, SC 29609 Phone: 864-522-5000 Fax: 864-241-9275 |