Provider Demographics
NPI:1730569328
Name:BARTEE, ANN THERESE (NP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:THERESE
Last Name:BARTEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 743070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3070
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:1575 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334-9218
Practice Address - Country:US
Practice Address - Phone:864-560-3500
Practice Address - Fax:864-560-3522
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC102644163W00000X
SC19588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSC62956084OtherMEDICARE PIN
SCNP3296Medicaid
SCSC62955019OtherMEDMEDICARE PIN
SCSC6295J577OtherMEDICARE PIN
SCSC62956121OtherMEDICARE PTAN
SCSC62954862OtherMEDICARE PTAN
SCSC62956067OtherMEDICARE PIN