Individual provider Active NPI

Pattie B Burriss, APRN

  • Nurse Practitioner
  • Clemson, SC
National Provider Identifier
1144229741
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F1887 Issued in SC
Practice address
885 Tiger Blvd
Clemson, SC 29631-1480
Phone
(864) 654-6800
NPI assigned
Jul 18, 2005
Last updated
Apr 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F1887 SC Primary

Addresses

Primary practice location

885 Tiger Blvd
Clemson, SC 29631-1480

Mailing address

885 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 654-6800

Other identifiers 1

IdentifierTypeStateIssuer
NP0710MedicaidSC

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
I20031112000739 SC Practitioner - Nurse Practitioner 0749194934 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Services Group PCGroup PAC ID 7618215690, 4 clinicians

Practice addresses (Care Compare)

2 Griffith Rd
Greenville, SC 29607-3503
Phone (864) 688-3988

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1887SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Department of Mental Health Accounting Office CurrentSince Jan 4, 2014 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jan 4, 2014 Accepting new patients
PH Health Care Services Inc CurrentSince May 7, 2024 Accepting new patients
Careconnectmd South Carolina P.C. CurrentSince Nov 6, 2023 Accepting new patients
Psgsc MSSP, P.C. CurrentSince Jul 24, 2025 Accepting new patients
PH Healthcare Services, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Physicians Services Group, P.C. CurrentSince Feb 1, 2023 Accepting new patients
South Carolina Dept of Mental Health Accounting Current Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

130 Highway 252
Anderson, SC 29621
Phone (864) 231-2600

4605 Belton Hwy
Anderson, SC 29621
Phone (803) 898-8461

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

2 Griffith Rd
Greenville, SC 29607
Phone (864) 276-8583

8595 Pelham Rd
Ste 400
Greenville, SC 29615
Phone (864) 316-8984

1240 Winnowing Way
Unit 102
Mt Pleasant, SC 29466
Phone (828) 396-5634

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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

Hospital & facility affiliations 1

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1144229741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 TIGER BLVD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311480",
            "telephone_number": "864-654-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 TIGER BLVD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311480",
            "telephone_number": "864-654-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRISS",
        "first_name": "PATTIE",
        "middle_name": "B",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "F1887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0710",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.