PHYLLIS C POYNER (NPI# 1114970712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114970712 |
| Entity Type | Individual |
| Full Name | PHYLLIS C POYNER |
| Credential | N.P. |
| Practice Address |
1410 Blanding St Ste 102 Columbia SC 29201-2967 |
| Mailing Address |
Po Box 7531 Columbia SC 29202-7531 |
| Practice Telephone | 8032562500 |
| Practice Fax Number | 8037581726 |
| Mailing Telephone | 8032562500 |
| Mailing Fax Number | 8037581726 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
20563 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0130 | 05 |
| Street Address |
1410 BLANDING ST STE 102 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205264454 | Selina R. Hunt Mckinney | Registered Nurse | 1410 Blanding St Ste 102, Columbia, SC 29201-2967 | 2013-10-25 |
| 1619112695 | Sheryl L Mitchell | Nurse Practitioner | 1410 Blanding St Ste 102, Columbia, SC 29201-2967 | 2008-12-04 |
| 1063444347 | Carolina Family Practice | Family Medicine | 1410 Blanding St Ste 102, Columbia, SC 29201 | 2006-07-07 |
| 1477592178 | Stephanie E Burgess | Nurse Practitioner | 1410 Blanding St Ste 102, Columbia, SC 29201-2967 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881957504 | Judith I Bildner | Clinical Nurse Specialist | 404 N Keene St, Columbia, MO 65201-6626 | 2012-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639422892 | The Clinic | Clinical Nurse Specialist | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2012-10-24 |
| 1316275068 | Wendy Schmunk | Clinical Nurse Specialist | 101 Springhall Dr, Goose Creek, SC 29445-5336 | 2009-11-18 |
| 1962638999 | Jack Frank Johnson IIi | Clinical Nurse Specialist | 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 | 2009-06-04 |
Please comment or provide details below to improve the information on PHYLLIS C POYNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.