Active NPI
Melanie Breland, APRN
- Family Nurse Practitioner
- Orangeburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20660
- Practice address
- 940 Holly St # 4984
Orangeburg, SC 29115-4984 - Phone
- (803) 536-2725
- Fax
- (803) 534-3118
- NPI assigned
- Dec 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20660 | SC | Primary |
Addresses
Primary practice location
940 Holly St # 4984
Orangeburg, SC 29115-4984
Mailing address
940 Holly St # 4984
Orangeburg, SC 29115-4984
Phone (803) 536-2725
Other practice location 1
1995 Saint Matthews Rd
Orangeburg, SC 29118-2405
Phone (803) 928-5525
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231013000148 | SC | Practitioner - Nurse Practitioner | 0446605372 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients | |
| Southern Medical Management, LLC | Past | Accepting new patients | |
| Sweetgrass Pediatrics | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
940 Holly St
#4984
Orangeburg, SC 29115
Phone (803) 536-2725
630 Laurel St
Orangeburg, SC 29115
Phone (803) 534-5550
940 Holly St
Orangeburg, SC 29115
Phone (803) 536-2725
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.
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Community/Retail Pharmacy
- Orangeburg, SC
- NPI 1467709881
-
- Pediatrics Physician
- Lexington, SC
- NPI 1114196557
-
- Pediatrics Physician
- North Charleston, SC
- NPI 1437168135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1124563390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 HOLLY ST # 4984",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291154984",
"telephone_number": "803-536-2725",
"fax_number": "803-534-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 HOLLY ST # 4984",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291154984",
"telephone_number": "803-536-2725",
"fax_number": "803-534-3118"
}
],
"practiceLocations": [
{
"address_1": "1995 Saint Matthews Rd",
"address_purpose": "LOCATION",
"city": "Orangeburg",
"state": "SC",
"postal_code": "291182405",
"country_code": "US",
"telephone_number": "803-928-5525",
"fax_number": "803-928-5505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRELAND",
"first_name": "MELANIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-27",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.