Individual provider Active NPI

Chrissie Middleton

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1104153006
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3964 Issued in SC
Practice address
4109 E North St Ste 300C
Greenville, SC 29615-6227
Phone
(864) 409-7041
Fax
(864) 428-1286
NPI assigned
Nov 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3964 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3964 SC Primary

Addresses

Primary practice location

4109 E North St Ste 300C
Greenville, SC 29615-6227

Mailing address

PO Box 287
Greenville, SC 29602-0287
Phone (864) 729-8330

Other practice location 1

975 W Faris Rd
Greenville, SC 29605-4241
Phone (864) 729-8330

Other practice location 2

200 McGee Rd
Anderson, SC 29625-2104
Phone (864) 260-2220

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
I20100217000726 SC Practitioner - Nurse Practitioner 0941344774 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of South Carolina PC CurrentSince Dec 17, 2018 Accepting new patients
Mental Health Specialty Group PA CurrentSince Oct 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Perfectly M Perfect Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
New Horizon Family Health Services Inc. PastSince Sep 10, 2023 Accepting new patients

Locations

170 Meeting St
Charleston, SC 29401
Phone (843) 983-8320

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

4109 E North St
Ste 300C
Greenville, SC 29615
Phone (864) 409-7041

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1104153006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296020287",
            "telephone_number": "864-729-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 E NORTH ST STE 300C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156227",
            "telephone_number": "864-409-7041",
            "fax_number": "864-428-1286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 W Faris Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054241",
            "country_code": "US",
            "telephone_number": "864-729-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 McGee Rd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296252104",
            "country_code": "US",
            "telephone_number": "864-260-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "CHRISSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3964",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "3964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.