Individual provider Active NPI

Melissa Cantrell Swofford, NP

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1053837369
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21128 Issued in SC
Practice address
151 E Wood St
Spartanburg, SC 29303-3016
Phone
(864) 345-1020
Fax
(877) 215-1965
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21128 SC Primary

Addresses

Primary practice location

151 E Wood St
Spartanburg, SC 29303-3016

Mailing address

3349 Battleground Rd
Cowpens, SC 29330-9437
Phone (864) 809-9249

Other practice location 1

400 S Logan St
Gaffney, SC 29341-1609
Phone (864) 487-2705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21128SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of South Carolina PastSince Dec 6, 2020 Accepting new patients
State of South Carolina Comptroller General Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053837369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 BATTLEGROUND RD",
            "city": "COWPENS",
            "state": "SC",
            "postal_code": "293309437",
            "telephone_number": "864-809-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033016",
            "telephone_number": "864-345-1020",
            "fax_number": "877-215-1965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Logan St",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293411609",
            "country_code": "US",
            "telephone_number": "864-487-2705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWOFFORD",
        "first_name": "MELISSA",
        "middle_name": "CANTRELL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.