Active NPI
Talicia Durham, NP
- Nurse Practitioner
- Daniel Island, SC
National Provider Identifier
1174476022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 31334
- Practice address
- 115 Fairchild St Ste 340
Daniel Island, SC 29492-7602 - Phone
- (888) 562-5442
- NPI assigned
- Feb 19, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 31334 | SC | Primary |
Addresses
Primary practice location
115 Fairchild St Ste 340
Daniel Island, SC 29492-7602
Mailing address
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone (888) 562-5442
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Brushwood CT
Columbia, SC 29229-9254
200 Oceangate
Suite 100
Long Beach, CA 90802-4316
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31334 | SC | MD | Nurse Practitioner |
Organizations & group practices 1
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": "1771459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1174476022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEANGATE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "888-562-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 FAIRCHILD ST STE 340",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294927602",
"telephone_number": "888-562-5442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "TALICIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-19",
"last_updated": "2026-02-19",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "31334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daniel Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.