Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700949120 Individual Practitioner Female Practitioner

Beth Lynn Dickerson , NP

Nurse Practitioner - Pediatrics • Clemson, SC

Professional Overview & Biography Verified Profile Summary

Beth Dickerson, NP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Clemson, SC. Practice services are available at 450 OLD GREENVILLE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

450 Old Greenville Hwy

Clemson, SC 296311670

Telephone 8646538964
Associated Practice Facility / Clinic
🏢 Prisma Health-Upstate Facility NPI 1619423704

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Clemson, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Clemson, SC (294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-28
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License SC 18068

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License NC 300251

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
NP1107 (SC)

Secondary Practice Locations

890 S Pleasantburg Dr

Greenville, SC 296072455

Phone: 8642713681

111 Omni Drive

Seneca, SC 296729448

Phone: 8648884222

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1174579254

Doctor of Medicine (M.D.)

NPI 1194741124

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 28, 2025

Registered at 450 OLD GREENVILLE HWY, CLEMSON, SC 296311670 (Tel: 8646538964)

📍
Updated Business Mailing Address May 19, 2021

Registered at 300 E MCBEE AVE FL 4, GREENVILLE, SC 296012842 (Tel: 8645222286)

NPI Profile Active May 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2016

Registered at 111 OMNI DRIVE, SENECA, SC 296729448 (Tel: 8648884222)

📍
Updated Business Mailing Address May 20, 2016

Registered at 1 INDEPENDENCE PT STE 212, GREENVILLE, SC 296154536 (Tel: 8647976306)

👤
Provider Name / Credentials Updated May 20, 2016

Recorded as BETH DICKERSON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2016

Nurse Practitioner (License #300251 in NC)

🟢
Initial NPI Registration & Enumeration December 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700949120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2006
Last Update: January 28, 2025
Sole Proprietor: No

Mailing Address

300 E Mcbee Ave Fl 4

Greenville, SC 296012842

Phone: 8645222286

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.