BEVERLY H TIMMONS (NPI# 1235111543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235111543 |
| Entity Type | Individual |
| Full Name | BEVERLY H TIMMONS |
| Practice Address |
216 E Marion St Kershaw SC 29067-1442 |
| Mailing Address |
Po Box 1259 Camden SC 29021-1259 |
| Practice Telephone | 8034753475 |
| Practice Fax Number | 8034755360 |
| Mailing Telephone | 8037138350 |
| Mailing Fax Number | 8037138433 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN587 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0177 | 05 |
| Street Address |
216 E MARION ST |
| City | KERSHAW |
| State | SC |
| Zip Code | 29067-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437130861 | Kershaw Family Medicine Associates LLC | Family Medicine | 216 E Marion St, Kershaw, SC 29067-1442 | 2005-11-11 |
| 1659921740 | Providence Physician Practices LLC | Optometrist | 216 E Marion St, Kershaw, SC 29067-1442 | 2019-09-19 |
| 1235380254 | Lisa D Clyburn | Nurse Practitioner | 216 E Marion St, Kershaw, SC 29067-1442 | 2008-10-08 |
| 1356559793 | Sentinel Health Partners, Pa | Internal Medicine | 216 E Marion St, Kershaw, SC 29067-1442 | 2007-05-18 |
| 1487606612 | Cynthia A Wilberding | Internal Medicine | 216 E Marion St, Kershaw, SC 29067-1442 | 2006-05-16 |
| 1710968011 | James M Timmons Jr. | Family Medicine | 216 E Marion St, Kershaw, SC 29067-1442 | 2005-11-14 |
| 1578556205 | Mahlon David Kellin | Social Worker | 216 E Marion St, Kershaw, SC 29067-1442 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568904 | Melissa Hopkins | Technician | 696 A Oakridge Church Rd, Kershay, SC 29067 | 2019-10-02 |
| 1295231496 | Rebekah Bowers Clements | Speech-Language Pathologist | 4452 Providence Rd., Kershaw, SC 29067 | 2018-04-05 |
| 1336403807 | Care-net of Lancaster | Family Medicine | 212 East Marion Street, Kershaw, SC 29067 | 2012-06-29 |
| 1851447932 | James Jefferson Mcdowell Jr. | Optometrist | 112 East Hilton St, Kershaw, SC 29067 | 2007-01-25 |
| 1780733055 | Eric J. Smith | Dentist | 114 East Hilton Street, Kershaw, SC 29067 | 2007-01-09 |
| 1417065624 | Robert Sowell Hegler Sr. | Dentist | 104 S Ashe St, Kershaw, SC 29067 | 2006-08-28 |
| 1750595690 | Drs Kelley & Mcdowell Pa | Optometrist | 112 East Hilton St, Kershaw, SC 29067 | 2007-05-10 |
| 1417190885 | Danny Reese Blackwell | Specialist | 116 N Matson St, Kershaw, SC 29067-1216 | 2009-04-14 |
| 1689000168 | C.l. Thaxton Insurance Group, Inc. | Supports Brokerage | 239 N Hampton St, Kershaw, SC 29067-1313 | 2013-09-17 |
| 1801087739 | Kershaw Counseling, LLC | Community/Behavioral Health | 206 N Hampton St, Kershaw, SC 29067-1314 | 2007-08-06 |
| Find all providers in zip 29067 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515511 | Naajah Hughes | Nurse Practitioner | 96 Jonathan Lucas Street Csb 428 Msc 608, Charleston, SC 29425-0001 | 2020-07-20 |
| 1558835355 | Conway Hospital Inc | Nurse Practitioner | 124 Professional Park Drive, Ste A, Conway, SC 29526-9260 | 2019-01-15 |
| 1104220433 | Diana L Taylor | Nurse Practitioner | 140 Professional Park Drive, Conway, SC 29526 | 2014-10-15 |
| 1134540008 | Jeanne Egli | Nurse Practitioner | 99 Bridgetown Rd, Goose Creek, SC 29445-5359 | 2013-12-19 |
| 1962839696 | Tracey Christine Wood | Nurse Practitioner | 140 Bandage Ct, Murrells Inlet, SC 29576-5103 | 2013-09-26 |
| 1982037495 | Amanda Mcallister | Nurse Practitioner | 1341 College Park Rd Ste A, Summerville, SC 29486 | 2013-08-20 |
| 1144568650 | Rebecca Pursley Brown | Nurse Practitioner | 128 Camelot Dr, Gaffney, SC 29341-1012 | 2013-01-18 |
| 1891097580 | Jocelyn Miller Snider | Nurse Practitioner | 1223 S Lake Dr, Lexington, SC 29073-6889 | 2010-12-01 |
| 1972805190 | Care House of The Pee Dee Inc | Nurse Practitioner | 1500 Patton Dr, Florence, SC 29501-6520 | 2010-11-19 |
| 1841436219 | Elsie May Hartigan | Nurse Practitioner | 834 W. Meeting St. Suite C, Lancaster, SC 29720 | 2009-01-06 |
| Find all providers with the same taxonomy | ||||
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| 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.