Active NPI
Melinda Crouch Forrest, FNP
- Family Nurse Practitioner
- North Augusta, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19742
- 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
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 | 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intramed Plus Infusion & Medical Center, LLC | Current | Accepting new patients | |
| Palmetto Infusion Services LLC | Current | 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.
-
- Clinic/Center
- West Columbia, SC
- NPI 1063053833
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.