Active NPI
Tabia Oni Holmes, ACNP
- Gerontology Nurse Practitioner
- North Charleston, SC
National Provider Identifier
1316547649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 31666
- Practice address
- 7301 Rivers Ave Ste 182
North Charleston, SC 29406-4650 - Phone
- (854) 444-9552
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 31666 | SC | Primary |
Addresses
Primary practice location
7301 Rivers Ave Ste 182
North Charleston, SC 29406-4650
Mailing address
7301 Rivers Ave
North Charleston, SC 29406-4650
Phone (854) 444-9552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Medicaid | SC |
Other names 1
- Tabia McMullen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.gracefulharmonymedspa.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31666 | SC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceful Harmony Medspa & Wellness LLC | Multi-Specialty | Current | Accepting new patients |
| Graceful Harmony Medspa | Current | Accepting new patients | |
| Graceful Harmony Medspa Inc | Multi-Specialty | Current | Accepting new patients |
Locations
2850 Ashley Phosphate Rd
Ste A
North Charleston, SC 29418
Phone (843) 817-1744
7301 Rivers Ave
Ste 182
North Charleston, SC 29406
Phone (803) 809-8149
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.
-
- Gerontology Nurse Practitioner
- North Charleston, SC
- NPI 1114863594
Multi-Specialty
-
- Public Health & General Preventive Medicine Physician
- North Charleston, SC
- NPI 1255051132
-
- Health & Wellness Coach
- North Charleston, SC
- NPI 1396465043
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1316547649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 RIVERS AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064650",
"telephone_number": "854-444-9552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 RIVERS AVE STE 182",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064650",
"telephone_number": "854-444-9552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "TABIA",
"middle_name": "ONI",
"credential": "ACNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "SC",
"license": "31666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NONE",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.gracefulharmonymedspa.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7301 Rivers Ave Ste 182",
"city": "North Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294064650",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TABIA",
"last_name": "MCMULLEN",
"credential": "APRN-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.