Individual provider Active NPI

Samantha Nichole McDaniel, APRN, CNP

  • Family Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1174005185
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24111 Issued in SC
Practice address
2550 Elms Center Rd
North Charleston, SC 29406-9844
Phone
(843) 302-8840
Fax
(843) 818-2188
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 24111 SC Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.023593 OH

Addresses

Primary practice location

2550 Elms Center Rd
North Charleston, SC 29406-9844

Mailing address

2550 Elms Center Rd
North Charleston, SC 29406-9844
Phone (843) 302-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181213001763 OH Practitioner - Nurse Practitioner 6204171671 Reassigns benefits to 1 organization
I20220528000047 SC Practitioner - Nurse Practitioner 6204171671 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023593OHMDFamily Nurse Practitioner
24111SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince May 30, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince May 30, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
RM Medical, PC CurrentSince Jul 11, 2025 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Nov 15, 2018 Accepting new patients

Locations

8180 26 Mile Rd
Ste 300
Shelby Township, MI 48316
Phone (586) 232-9721

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

7100 Hospital Dr
Dublin, OH 43016
Phone (614) 339-0467

4656 Cemetery Rd
Hilliard, OH 43026
Phone (614) 345-0237

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

369 Halton Rd
Greenville, SC 29607
Phone (864) 235-9008

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

1650 Skylyn Dr
Ste 340
Spartanburg, SC 29307
Phone (586) 871-0590

3300 Sunset Blvd
Ste 100
West Columbia, SC 29169
Phone (803) 796-8377

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1174005185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 ELMS CENTER RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069844",
            "telephone_number": "843-302-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 ELMS CENTER RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069844",
            "telephone_number": "843-302-8840",
            "fax_number": "843-818-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "SAMANTHA",
        "middle_name": "NICHOLE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24111",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.