Individual provider Active NPI

Cameo Green Coleman, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Irmo, SC
National Provider Identifier
1366811754
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0815086 Issued in SC
Practice address
1008 Lake Murray Blvd
Irmo, SC 29063-2821
Phone
(866) 389-2727
NPI assigned
Sep 16, 2015
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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 F0815086 SC Primary

Addresses

Primary practice location

1008 Lake Murray Blvd
Irmo, SC 29063-2821

Mailing address

1200 Neal Rd
Hopkins, SC 29061-8456
Phone (803) 269-8406

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
I20160115000002 SC Practitioner - Nurse Practitioner 6406159078 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Limitless Health Connections LLCGroup PAC ID 3274889720, 2 clinicians

Practice addresses (Care Compare)

2323 Saint Matthews Rd
Orangeburg, SC 29118-2042
Phone (803) 378-2886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F0815086SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Behavioral Health, LLC CurrentSince Jan 15, 2023 Accepting new patients
Edisto Regional Health Services Inc CurrentSince Nov 11, 2015 Accepting new patients
East Harbor Partners, P.C. CurrentSince Oct 9, 2025 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Family Current Accepting new patients
Edisto Regional Health Services Inc. Current Accepting new patients
Edisto Regional Health Services Inc. CurrentSince Nov 11, 2015 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince May 20, 2019 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince May 20, 2019 Accepting new patients

Locations

187 Bunch Ford Rd
Holly Hill, SC 29059
Phone (803) 395-3068

134 E Rebound Rd
Lancaster, SC 29720
Phone (803) 313-3700

1175 Cook Rd
Ste 305
Orangeburg, SC 29118
Phone (803) 395-3715

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

2323 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 378-2886

651A Harry C Raysor Dr
St Matthews, SC 29135
Phone (803) 395-3737

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/

Organizations & group practices 10

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1366811754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NEAL RD",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "290618456",
            "telephone_number": "803-269-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 LAKE MURRAY BLVD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632821",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CAMEO",
        "middle_name": "GREEN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F0815086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.