| Stacy Lynn Whitworth, FNP-BC | |
|
914 Reynolds Rd, Barnwell, SC 29812-6358 | |
| (803) 259-5311 | |
| (803) 259-5196 |
| Full Name | Stacy Lynn Whitworth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 914 Reynolds Rd, Barnwell, 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 |
|---|---|---|---|
| 1093185829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 196303 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 21687 (South Carolina) | Primary |
| Entity Name | Coastal Imaging Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114263456 PECOS PAC ID: 0042464364 Enrollment ID: O20130213000406 |
| Entity Name | Community Care Health Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210730002290 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Lynn Whitworth, FNP-BC 914 Reynolds Rd, Barnwell, SC 29812-6358 Ph: (803) 259-5311 | Stacy Lynn Whitworth, FNP-BC 914 Reynolds Rd, Barnwell, SC 29812-6358 Ph: (803) 259-5311 |
Marsha Wren Carroll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 Fax: 803-259-3250 |
Christopher Shane Carroll, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10706 Marlboro Ave., Barnwell, SC 29812 Phone: 803-259-7337 |
Amanda Beck Bucao, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1644 Jackson St, Barnwell, SC 29812 Phone: 888-221-1826 |
Mrs. Shenika Mitchell Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 154 Wren St, Barnwell, SC 29812 Phone: 803-259-3399 |
Mrs. Sharnte Dukes-jamison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 Fax: 803-259-3250 |
Ms. Saranne S. O'neal, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10706 Marlboro Ave, Barnwell, SC 29812 Phone: 803-259-7337 Fax: 803-259-3250 |
Sharon G. Wise, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 154 Wren St, Barnwell, SC 29812 Phone: 803-259-3399 Fax: 803-259-4477 |