BETH LYNN DICKERSON NP
NPI 1700949120
Nurse Practitioner - Pediatrics in Clemson, SC
About Beth Lynn Dickerson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETH LYNN DICKERSON NP (NPI 1700949120) is an individual pediatrics provider in Clemson, South Carolina, licensed in South Carolina (18068) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beth Lynn Dickerson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Beth Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clemson, SC 29631
- Reassigned Medicare billing, South Carolina enrollment
- Also billed through NPI 1558754978 (South Carolina)
- 222 clinicians in this Medicare group
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 29631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Beth Dickerson's NPI number?
The NPI number for Beth Dickerson is 1700949120. It was assigned to this individual provider in the NPPES registry on December 18, 2006.
Where is Beth Dickerson located?
Beth Dickerson practices at 450 Old Greenville Hwy, Clemson, SC 29631. The listed phone number is (864) 653-8964.
What is Beth Dickerson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Beth Dickerson enrolled in Medicare?
Yes. Beth Dickerson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Beth Dickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beth Dickerson reassigns Medicare benefits to Prisma Health University Medical Group (Clemson, SC). The 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 Beth Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Beth Dickerson accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Beth Dickerson 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 Beth Dickerson was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Beth Lynn Dickerson, NP · NPI 1700949120
Pediatrics physician in Clemson, South Carolina. Individual provider, active in the CMS NPPES registry since December 18, 2006.
## Identity
- **NPI:** 1700949120 (Entity type: Individual)
- **Enumerated:** December 18, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 18068 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 OLD GREENVILLE HWY, Clemson, SC 29631-1670
- **Phone:** (864) 653-8964
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prisma Health University Medical Group (NPI 1225480486, Clemson, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2025
- **Other identifiers:** Medicaid NP1107 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1700949120) · Data from the CMS NPPES public registry.