SHELLY C WILKERSON (NPI# 1710996129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710996129 |
| Entity Type | Individual |
| Full Name | SHELLY C WILKERSON |
| Other Name | SHELLY C TAYLOR |
| Credential | NP |
| Practice Address |
1330 Haile St Camden SC 29020-3002 |
| Mailing Address |
2001 Laurel St Columbia SC 29204-1018 |
| Practice Telephone | 8034326771 |
| Practice Fax Number | 8033762870 |
| Mailing Telephone | 8032552655 |
| Mailing Fax Number | 8033762870 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
61322 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1330 HAILE ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204912 | Mitchell Todd Alderson | Internal Medicine | 1330 Haile St, Camden, SC 29020-3002 | 2005-06-08 |
| 1184133258 | Providence Group Practices II, LLC | Internal Medicine | 1330 Haile St, Camden, SC 29020-3002 | 2017-09-21 |
| 1053848952 | Carolina Cardiovascular Consultants LLC | Internal Medicine | 1330 Haile St, Camden, SC 29020-3002 | 2017-05-23 |
| 1861940231 | Dana Lorraine Addison | Nurse Practitioner | 1330 Haile St, Camden, SC 29020 | 2016-09-14 |
| 1760763312 | Providence Cardiology LLC | Internal Medicine | 1330 Haile St, Camden, SC 29020-3002 | 2011-09-08 |
| 1184886798 | South Carolina Heart Center Pa | Internal Medicine | 1330 Haile St, Camden, SC 29020-3002 | 2008-06-26 |
| 1629002332 | Paul A Zimmermann | Internal Medicine | 1330 Haile St, Camden, SC 29020-3002 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033691654 | Melinda Branham | Nurse Practitioner | 93 Burbage St, Camden, SC 29020-1596 | 2018-08-30 |
| 1174030001 | Jessica Ann Donaldson | Nurse Practitioner | 9562 State Route #13, Camden, NY 13316-4940 | 2017-12-31 |
| 1205348679 | Michael Joseph Foglio | Nurse Practitioner | 1600 Haddon Ave # Er, Camden, NJ 08103-3101 | 2017-10-25 |
| 1205371770 | Rachel Degtyarev | Nurse Practitioner | 1 Cooper Plz Rm 513, Camden, NJ 08103-1461 | 2016-12-19 |
| 1508309766 | Jessica Millraney | Nurse Practitioner | 30 S Court Sq, Camden, TN 38236 | 2016-11-21 |
| 1619324852 | Heather Larkins | Nurse Practitioner | 284 Highway 641 N, Camden, TN 38320-1350 | 2016-05-18 |
| 1528441706 | Susanne Marie Johnson | Nurse Practitioner | 525 Clinton Street, Camden, NJ 08103 | 2015-07-07 |
| 1588003842 | Andrea Susanne Abbott | Nurse Practitioner | 178 Schools Dr, Camden, TN 38320-3026 | 2013-06-20 |
| 1134467277 | Patricia Golato | Nurse Practitioner | 3 Cooper Plz Rm 116, Camden, NJ 08103 | 2013-01-24 |
| 1134495906 | Jessica Epps Wilkes | Nurse Practitioner | 110 E Dekalb St # C, Camden, SC 29020-4432 | 2012-03-27 |
| Find all providers in CAMDEN | ||||
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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.