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LATREVET THOMAS APRN
NPI 1417849886
Nurse Practitioner - Family in Goose Creek, SC

Active since July 18, 2025PECOS EnrolledAccepts Medicare Assignment
119 SPRINGHALL DR, GOOSE CREEK, SC 29445(843) 266-2520 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2026, Sep 4, 2025 (2 updates tracked since 2025).

About Latrevet Thomas Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATREVET THOMAS APRN (NPI 1417849886) is an individual family provider in Goose Creek, South Carolina, licensed in South Carolina (30643) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417849886
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLATREVET THOMASCredential: APRN
Location Address119 SPRINGHALL DRGoose Creek, SC 29445-5368
Mailing AddressPo Box 530062Atlanta, GA 30353-0062 · (800) 491-0909
Phone(843) 266-2520
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 18, 2025
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1417849886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 30643
119 SPRINGHALL DR, Goose Creek, SC 29445
Open in Google Maps ↗

Other Identifiers 1

MedicaidNN1718SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Latrevet Thomas Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476059924
PECOS Enrollment IDI20251002004008
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Latrevet Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Palmetto Primary Care Physicians, LLC
Same address
Family Medicine
119 SPRINGHALL DR
Goose Creek, SC 29445
  • Reassigned Medicare billing, South Carolina enrollment
  • 290 clinicians in this Medicare group
NPI 1538634183 (843) 266-2520
Sc House Calls Inc
90 mi
Family Medicine
111 DOCTOR CIR
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 631 clinicians in this Medicare group
NPI 1518048859 (800) 491-0909

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29445 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CIELITA K. HALYARD APRN
Nurse Practitioner (Family)
119 SPRINGHALL DR
GOOSE CREEK, SC 29445
Berkeley County (843) 266-2520
MS. RACHEL L. KING PA
Physician Assistant
119 SPRINGHALL DR
GOOSE CREEK, SC 29445
Berkeley County (432) 662-5208
CILANTAY R WILSON APRN
Nurse Practitioner (Family)
119 SPRINGHALL DR
GOOSE CREEK, SC 29445
Berkeley County (843) 266-2520
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Family Medicine
119 SPRINGHALL DR
GOOSE CREEK, SC 29445
Berkeley County (843) 266-2520
JANELLE SHEEKEY APRN
Nurse Practitioner (Family)
119 SPRINGHALL DR
GOOSE CREEK, SC 29445
Berkeley County (843) 266-2520
WILLIAM MARTIN TUCKER III MD
Family Medicine
119 SPRINGHALL DR
GOOSE CREEK, SC 29445
Berkeley County (843) 266-2520
MRS. DIANE N. MCNEIL APRN
Nurse Practitioner (Family)
119 SPRINGHALL DR
GOOSE CREEK, SC 29445
Berkeley County (843) 266-2520
MRS. KIM-OANH H. DAVIS MASTERS DEGREE
Audiologist
119 SPRINGHALL DR, SUITE C
GOOSE CREEK, SC 29445
Berkeley County (843) 329-0785

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latrevet Thomas's NPI number?

The NPI number for Latrevet Thomas is 1417849886. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Latrevet Thomas located?

Latrevet Thomas practices at 119 Springhall Dr, Goose Creek, SC 29445. The listed phone number is (843) 266-2520.

What is Latrevet Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Latrevet Thomas enrolled in Medicare?

Yes. Latrevet Thomas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Latrevet Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latrevet Thomas reassigns Medicare benefits to 2 organizations: Palmetto Primary Care Physicians, LLC (Goose Creek, SC) and Sc House Calls Inc (Columbia, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latrevet Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latrevet Thomas accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Latrevet Thomas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latrevet Thomas was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.