Individual provider Active NPI

Tamela Bonham, FNP-BC

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1306715313
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31109 Issued in SC
Practice address
505 N Main St Ste C
Greenville, SC 29601-2019
Phone
(864) 232-2734
NPI assigned
Oct 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 31109 SC Primary

Addresses

Primary practice location

505 N Main St Ste C
Greenville, SC 29601-2019

Mailing address

505 N Main St Ste C
Greenville, SC 29601-2019
Phone (864) 232-2734

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
I20260218003284 SC Practitioner - Nurse Practitioner 5294215174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

505 N Main St
Suite C
Greenville, SC 29601-2019

PO Box
Suite 4301
Anderson, SC 29622

PO Box
Suite 4301
Anderson, SC 29622-4301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31109SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health on Main CurrentSince Dec 29, 2025 Accepting new patients

Locations

505 N Main St
Ste C
Greenville, SC 29601
Phone (864) 232-2734

Interoperability endpoints

  • Direct secure messaging: tamela.bonham.1@14006.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14006/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1306715313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012019",
            "telephone_number": "864-232-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012019",
            "telephone_number": "864-232-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "TAMELA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "31109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.