Individual provider Active NPI

Scarlett Manchin, FNP

  • Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1316314412
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25357 Issued in SC
Practice address
540 Physicians LN
Sumter, SC 29150-3370
Phone
(803) 340-5110
Fax
(803) 433-5636
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25357 SC Primary
Registered Nurse 163W00000X 71024 WV
Family Nurse Practitioner 363LF0000X APRN71024-FNPBC WV

Addresses

Primary practice location

540 Physicians LN
Sumter, SC 29150-3370

Mailing address

3377 US Route 60
Huntington, WV 25705-2837
Phone (304) 525-3334

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
I20221212003089 SC Practitioner - Nurse Practitioner 7315241809 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71024WVMDRegistered Nurse
25357SCMDNurse Practitioner
APRN71024-FNPBCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II Nurse Practitioner Current Accepting new patients
McLeod Physician Associates II CurrentSince Sep 12, 2022 Accepting new patients
McLeod Physician Associates II Nurse Practitioner CurrentSince Sep 12, 2022 Accepting new patients

Locations

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

506 E Cheves St
#202
Florence, SC 29506

540 Physicians Ln
Sumter, SC 29150
Phone (803) 778-1941

Interoperability endpoints

  • Direct secure messaging: smanchin32751@directmcleodehealth.org

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1316314412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052837",
            "telephone_number": "304-525-3334",
            "fax_number": "304-525-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PHYSICIANS LN",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503370",
            "telephone_number": "803-340-5110",
            "fax_number": "803-433-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHIN",
        "first_name": "SCARLETT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "25357",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "71024",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN71024-FNPBC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.