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MRS. SALLY CATHERINE DONNELLY NP NPI 1598318966


NPI Information

NPI: 1598318966
Provider Name: MRS. SALLY CATHERINE DONNELLY, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SPARTANBURG MEDICAL CENTER

PECOS Registration: Yes

Address:
1200 E MAIN ST STE 12
SPARTANBURG, SC
ZIP 29307
Phone: (864) 560-9260
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MRS. Sally Catherine Donnelly, NP is a family nurse practitioner in Spartanburg, SC with 13 years of experience. MRS. Sally Catherine Donnelly, NP NPI is 1598318966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 E MAIN ST STE 12
SPARTANBURG, SC
ZIP 29307-738
Phone: (864) 560-9260
Fax: (864) 560-9265

The NPI 1598318966 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2019 and was last updated on 12/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily216119SOUTH CAROLINAYes
2363L00000XNurse Practitioner216119SOUTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SCG2816067OTHERSOUTH CAROLINAMEDICARE PIN
2NP6239MEDICAIDSOUTH CAROLINA
3SCG2816121OTHERSOUTH CAROLINAMEDICARE PIN
4SCG281J577OTHERSOUTH CAROLINAMEDICARE PIN
5SCG2816084OTHERSOUTH CAROLINAMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.