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

Tracy King Fasolino, NP

Individual provider Nurse Practitioner · NPI 1427006170

Tracy King Fasolino, NP is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2009, 17 years ago. Practices with Bon Secours Medical Group Greenville Specialty Care LLC, a 289-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
17
Licensed in
SC
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

317 Saint Francis Dr
Greenville, SC 29601-3965
Phone: (864) 255-1304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F1070 (SC)

Record details

NPI number1427006170
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESSeptember 24, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Bon Secours Medical Group Greenville Specialty Care Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Greenville