Individual provider Active NPI

Melinda Crouch Forrest, FNP

  • Family Nurse Practitioner
  • North Augusta, SC
National Provider Identifier
1184093320
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19742 Issued in SC
Practice address
401 W Martintown Rd
Suite 140
North Augusta, SC 29841-3186
Phone
(803) 265-2015
Fax
(803) 708-0865
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19742 SC Primary

Addresses

Primary practice location

401 W Martintown Rd
Suite 140
North Augusta, SC 29841-3186

Mailing address

PO Box 1320
Lexington, SC 29071-1320
Phone (803) 265-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 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
I20170214000480 SC Practitioner - Nurse Practitioner 3375838048 Reassigns benefits to 1 organization
I20200416001080 GA Practitioner - Nurse Practitioner 3375838048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

Practice addresses (Care Compare)

3105 Sunset Blvd
West Columbia, SC 29169-3425
Phone (803) 771-7740

404 Town Park Blvd
Suite 201
Evans, GA 30809-3491
Phone (800) 809-1265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intramed Plus Infusion & Medical Center, LLC CurrentSince Aug 8, 2024 Accepting new patients
Palmetto Infusion Services LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

404 Town Park Blvd
Ste 201
Evans, GA 30809

7426 Hodgson Memorial Dr
Ste B
Savannah, GA 31406

690 Medical Park Dr
Ste 300
Aiken, SC 29801

110 Mutual Dr
Anderson, SC 29621

1027 Physicians Dr
Ste 220
Charleston, SC 29414
Phone (843) 553-7588

122 Highland Center Dr
Ste W
Columbia, SC 29203

141 Halton Village Cir
Greenville, SC 29607
Phone (864) 370-3900

1650 Skylyn Dr
Ste 350
Spartanburg, SC 29307
Phone (864) 699-9771

3388 Yampa St
Sumter, SC 29150

112 Saluda Ridge Ct
Ste 200
West Columbia, SC 29169
Phone (803) 358-0158

3105 Sunset Blvd
West Columbia, SC 29169
Phone (843) 314-2060

Organizations & group practices 2

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1184093320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1320",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290711320",
            "telephone_number": "803-265-2015",
            "fax_number": "803-708-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MARTINTOWN RD",
            "address_2": "SUITE 140",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413186",
            "telephone_number": "803-265-2015",
            "fax_number": "803-708-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "MELINDA",
        "middle_name": "CROUCH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.