Individual provider Active NPI

Ashliegh Marriah Pelton, NP

  • Family Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1285320762
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27096 Issued in SC
Practice address
1602 Central Ave
Summerville, SC 29483-9312
Phone
(866) 389-2727
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 27096 SC Primary

Addresses

Primary practice location

1602 Central Ave
Summerville, SC 29483-9312

Mailing address

1602 Central Ave
Summerville, SC 29483-9312
Phone (866) 389-2727

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
I20230609001666 SC Practitioner - Nurse Practitioner 5890152672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic South Carolina LLCGroup PAC ID 8527126861, 113 clinicians

Practice addresses (Care Compare)

1602 Central Ave
Summerville, SC 29483-9312
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
79.98
Improvement activities
40
Cost
79.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27096SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince May 11, 2023 Accepting new patients
Minuteclinic Primary Care South Carolina LLC Family CurrentSince Sep 17, 2025 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince May 21, 2023 Accepting new patients

Locations

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

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

301 N Main St
Summerville, SC 29483
Phone (843) 834-7877

1602 Central Ave
Summerville, SC 29483
Phone (843) 871-0310

Organizations & group practices 3

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": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1285320762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 CENTRAL AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294839312",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 CENTRAL AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294839312",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "ASHLIEGH",
        "middle_name": "MARRIAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.