Individual provider Active NPI

Lorrie R Mello-Shropshire, MD

  • Pediatrics Physician
  • Chester, SC
National Provider Identifier
1306865373
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
17410 Issued in SC
Practice address
1 Medical Park Dr
BLDG. 3, Suite a
Chester, SC 29706-9769
Phone
(803) 581-2400
Fax
(803) 581-2401
NPI assigned
Jul 19, 2006
Last updated
Sep 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 17410 SC Primary

Addresses

Primary practice location

1 Medical Park Dr
BLDG. 3, Suite a
Chester, SC 29706-9769

Mailing address

1 Medical Park Dr
BLDG. 3, Suite a
Chester, SC 29706-9769
Phone (803) 581-2400

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000032 SC Practitioner - Pediatric Medicine 5698728327 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17410SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc Pediatrics CurrentSince Mar 1, 2019 Accepting new patients
Carolina Family Care, Inc Pediatrics CurrentSince Mar 1, 2019 Accepting new patients
Medical University Hospital Authority Current Accepting new patients
Medical University Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients
Medical University Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients
Chester Hma Physician Management Inc Pediatrics Past Accepting new patients
South Carolina Heart Center Past Accepting new patients

Locations

1 Medical Park Dr
#3A
Chester, SC 29706
Phone (803) 581-2400

1 Medical Park Dr
#4A
Chester, SC 29706
Phone (803) 581-2001

1 Medical Park Dr
Bldg 3
Chester, SC 29706
Phone (803) 385-5000

1 Medical Park Dr
Ste A
Chester, SC 29706
Phone (803) 581-2001

517 Doctors Ct
Chester, SC 29706
Phone (803) 581-2800

517 Doctors Ct
Lowr
Chester, SC 29706
Phone (803) 581-2800

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1306865373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "address_2": "BLDG. 3, SUITE A",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297069769",
            "telephone_number": "803-581-2400",
            "fax_number": "803-581-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "address_2": "BLDG. 3, SUITE A",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297069769",
            "telephone_number": "803-581-2400",
            "fax_number": "803-581-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLO-SHROPSHIRE",
        "first_name": "LORRIE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "17410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, SC

Sources for this page

Verify at the official NPI Registry.