| Kimberly N Spivey, FNP-BC | |
|
51 11th Ave, Aynor, SC 29511-3249 | |
| (843) 358-3700 | |
| (843) 358-3707 |
| Full Name | Kimberly N Spivey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 51 11th Ave, Aynor, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013280031 | NPI | - | NPPES |
| NP2021 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 17728 APRN (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 17728 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Health Cheraw | Cheraw, SC | Hospital |
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Musc Health Marion Medical Center | Mullins, SC | Hospital |
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Mcleod Medical Center - Dillon | Dillon, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcleod Health Cheraw | 7911228259 | 56 |
| Entity Name | Mcleod Health Cheraw |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275912974 PECOS PAC ID: 7911228259 Enrollment ID: O20151218002079 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly N Spivey, FNP-BC 300 Singleton Ridge Rd, Attention Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Kimberly N Spivey, FNP-BC 51 11th Ave, Aynor, SC 29511-3249 Ph: (843) 358-3700 |
Jessica Roberson Strickland, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1213 Elm St, Aynor, SC 29511 Phone: 843-358-5806 Fax: 843-358-9205 | |
Ashley Hucks Crago, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1213 Elm St, Aynor, SC 29511 Phone: 843-358-5806 Fax: 843-358-9205 |