Individual provider Active NPI

Mercedes D Papaharis, A.P.R.N

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1346350329
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18363 Issued in SC
Practice address
181 Calhoun St
Charleston, SC 29424-5728
Phone
(843) 953-5520
Fax
(203) 966-8223
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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 18363 SC Primary

Addresses

Primary practice location

181 Calhoun St
Charleston, SC 29424-5728

Mailing address

2717 Sarazen Dr
Mount Pleasant, SC 29466-8742
Phone (203) 644-2543

Other identifiers 1

IdentifierTypeStateIssuer
004238607MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18363SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New England Healthcare LLC PastSince Jul 25, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mercedes.papaharis.1@15910.direct.athenahealth.com

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1346350329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 SARAZEN DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668742",
            "telephone_number": "203-644-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294245728",
            "telephone_number": "843-953-5520",
            "fax_number": "203-966-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAHARIS",
        "first_name": "MERCEDES",
        "middle_name": "D",
        "credential": "A.P.R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004238607",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.