Individual provider Active NPI

Shelly Bridget Talley

  • Family Nurse Practitioner
  • Easley, SC
National Provider Identifier
1245098276
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28252 Issued in SC
Practice address
5269 Calhoun Memorial Hwy
Easley, SC 29640-3865
Phone
(866) 389-2727
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 28252 SC
Family Nurse Practitioner 363LF0000X 28252 SC Primary

Addresses

Primary practice location

5269 Calhoun Memorial Hwy
Easley, SC 29640-3865

Mailing address

4741 Highway 153 Ste B
Easley, SC 29642-9161
Phone (864) 516-3792

Other practice location 1

4741 Highway 153 Ste B
Easley, SC 29642-9161
Phone (864) 516-3792

Other practice location 2

11402 Anderson Rd
Greenville, SC 29611-7557
Phone (864) 631-2799

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621001771 SC Practitioner - Nurse Practitioner 0244773968 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians
Minuteclinic Diagnostic South Carolina LLCGroup PAC ID 8527126861, 113 clinicians

Practice addresses (Care Compare)

11402 Anderson Rd
Greenville, SC 29611-7557
Phone (864) 990-1600

5269 Calhoun Memorial Hwy
Easley, SC 29640-3865
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28252SCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PH Healthcare Services, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Sep 1, 2025 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Jan 9, 2025 Accepting new patients
PH Health Care Services Inc CurrentSince May 7, 2024 Accepting new patients
Minuteclinic Primary Care South Carolina LLC Family CurrentSince Sep 17, 2025 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Jan 9, 2025 Accepting new patients

Locations

101 Grace Dr
Easley, SC 29640
Phone (864) 269-3725

5269 Calhoun Memorial Hwy
Easley, SC 29640
Phone (864) 859-7168

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

8995 University Blvd
North Charleston, SC 29406
Phone (843) 410-0701

11402 Anderson Rd
Powdersville, SC 29611
Phone (864) 631-2799

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

Interoperability endpoints

  • Direct secure messaging: sharris46486@direct.ghs.myhfn.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1245098276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 HIGHWAY 153 STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296429161",
            "telephone_number": "864-516-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5269 CALHOUN MEMORIAL HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403865",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4741 Highway 153 Ste B",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296429161",
            "country_code": "US",
            "telephone_number": "864-516-3792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11402 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296117557",
            "country_code": "US",
            "telephone_number": "864-631-2799",
            "fax_number": "864-522-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "SHELLY",
        "middle_name": "BRIDGET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "28252",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.