Individual provider Active NPI

Melanie Lynn Mole, FNP-C

  • Adult Medicine Physician
  • Easley, SC
National Provider Identifier
1093550014
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
28953 Issued in SC
Practice address
105 Franklin Square Way
Easley, SC 29642-3715
Phone
(803) 645-2000
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 28953 SC Primary

Addresses

Primary practice location

105 Franklin Square Way
Easley, SC 29642-3715

Mailing address

1007 Lango Ave
Charleston, SC 29407-6427
Phone (843) 532-2085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018003836 SC Practitioner - Nurse Practitioner 9739611435 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Pulmonary Associates PAGroup PAC ID 1759373079, 10 clinicians

Practice addresses (Care Compare)

125 Doughty St
Suite 200
Charleston, SC 29403-5727
Phone (843) 577-6791

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Pulmonary Associates PA CurrentSince Jun 9, 2025 Accepting new patients
Onsite Medical Solutions SC Coastal LLC CurrentSince Oct 23, 2024 Accepting new patients
Onsite Medical Solutions SC Upstate LLC CurrentSince Nov 5, 2024 Accepting new patients
Onsite Healthcare and Wellness LLC CurrentSince Jun 28, 2024 Accepting new patients

Locations

125 Doughty St
Ste 200
Charleston, SC 29403
Phone (843) 577-6791

105 Franklin Square Way
Easley, SC 29642
Phone (803) 645-2000

105 Franklin Square Way
#A
Easley, SC 29642
Phone (864) 442-4019

1300 Hospital Dr
Ste 180
Mt Pleasant, SC 29464
Phone (843) 388-8388

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDFBA

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1093550014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 LANGO AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076427",
            "telephone_number": "843-532-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FRANKLIN SQUARE WAY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423715",
            "telephone_number": "803-645-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLE",
        "first_name": "MELANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "SC",
            "license": "28953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.