Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Suzanne Herta Gubitosa, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1295219699

Suzanne Herta Gubitosa, AGPCNP-BC is a Nurse Practitioner in Easley, South Carolina. Qualified in 2018, 8 years ago. Practices with Ph Health Care Services Inc, a 14-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
8
Licensed in
SC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

4741 Highway 153 Ste B
Easley, SC 29642-9161
Phone: (888) 506-8885
Fax: (888) 506-8885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22112 (SC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 22112 (SC)

Record details

NPI number1295219699
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedSeptember 20, 2018
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ph Health Care Services Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Easley