Elijah Scott Bausum, AGNP-C
Elijah Scott Bausum, AGNP-C is a Nurse Practitioner in Sumter, South Carolina. Qualified in 2024, 2 years ago. Practices with Urology Clinic, Inc, a 4-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 2
- Licensed in
- SC
- In the registry since
- 2024
Practice location Address checks out
1285 Wilson Hall RdSumter, SC 29150-1804
Phone: (803) 905-3555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 28689 (SC) |
|---|
Record details
| NPI number | 1801642707 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AGNP-C |
| Sole proprietor | No |
| NPI enumerated | April 30, 2024 |
| Last updated in NPPES | April 30, 2024 |
| Certification date | April 30, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Urology Clinic, Inc. — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Sumter
-
Brittney Hawkins, APRN
1285 Wilson Hall Rd, Sumter, SC 29150-1804 · (803) 905-3555
-
McLeod Physician Associates II
540 Physicians Ln, Sumter, SC 29150-3370 · (803) 340-5100
-
Dr. Charles Moss, MD
410 W Wesmark Blvd, Sumter, SC 29150-1983 · (803) 469-4402
-
Dr. Vijay Paul Pinto, MD
1285 Wilson Hall Rd, Sumter, SC 29150 · (803) 905-3555