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BETH LYNN DICKERSON NP
NPI 1700949120
Nurse Practitioner - Pediatrics in Clemson, SC

Active since December 18, 2006PECOS Enrolled
450 OLD GREENVILLE HWY, CLEMSON, SC 29631(864) 653-8964 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2023, May 19, 2021, May 20, 2016 (3 updates tracked since 2016).

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

NPI1700949120
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameBETH LYNN DICKERSONCredential: NP
Location Address450 OLD GREENVILLE HWYClemson, SC 29631-1670
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-2286
Phone(864) 653-8964
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJanuary 28, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1700949120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in SC · 18068
Also ListedNurse PractitionerTaxonomy 363L00000X · License 300251 (NC)
450 OLD GREENVILLE HWY, Clemson, SC 29631
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1890 S Pleasantburg DrGreenville, SC 29607-2455 · Phone (864) 271-3681
Location 2111 Omni DriveSeneca, SC 29672-9448 · Phone (864) 888-4222 · Fax (864) 888-0023

Other Identifiers 1

MedicaidNP1107SC

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beth Lynn Dickerson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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 4

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

PRISMA HEALTH-UPSTATE
Clinic/Center (Multi-Specialty)
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964
ANTOINETTE MARIE BANNISTER M.D.
Pediatrics
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964
MARION A WILLS M.D.
Pediatrics
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964
PRISMA HEALTH-UPSTATE
Clinic/Center (Rural Health)
450 OLD GREENVILLE HWY
CLEMSON, SC 29631
Pickens County (864) 653-8964

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.

What insurance does Beth Dickerson accept?

Health plans from 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 with the weekly NPPES data releases published by CMS.