Melissa E. Boylan, M.D., LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MELISSA E. BOYLAN, M.D., LLC

Doing business as

Noreta Family Medicine

Practice address

6941 N Trenholm Rd Ste a
Columbia, SC 29206-1715

Phone

(803) 667-4190

Fax

(803) 902-8077

NPI assigned

Jun 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Boylan, MDNPI 1790947596

Title

Owner

Phone

(803) 667-4190

Specialties & licenses 1

Addresses

Other names 1

• Noreta Family Medicine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Boylan, MD

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1790947596
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1235878455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 N TRENHOLM RD STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061715",
            "telephone_number": "803-667-4190",
            "fax_number": "803-902-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6941 N TRENHOLM RD STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061715",
            "telephone_number": "803-667-4190",
            "fax_number": "803-902-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA E. BOYLAN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "BOYLAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-667-4190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noreta Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Prince Mejia, NP
• Hayley Melba, PTA
• Theresa Melendez
• Adriana Melgen
• Celina Marie Melgoza, MAT, ATC
• Melissa H Kannaday MD LLC
• Melissa Mellette Counseling and Consulting, LLC
• Melissa Mellette
• Larry B. Mellick, MD
• Theresa Ellen Melloh, PHD

• Primary Care Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.