Individual provider Active NPI

Davis Renee Migdalas, FNP

  • Family Nurse Practitioner
  • Abbeville, SC
National Provider Identifier
1376053249
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21249 Issued in SC
Practice address
901 W Greenwood St Ste 6
Abbeville, SC 29620-5727
Phone
(864) 366-9010
Fax
(864) 366-9012
NPI assigned
Oct 5, 2017
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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 21249 SC Primary

Addresses

Primary practice location

901 W Greenwood St Ste 6
Abbeville, SC 29620-5727

Mailing address

PO Box 885
Abbeville, SC 29620-0885
Phone (864) 366-9010

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
I20171115001911 SC Practitioner - Nurse Practitioner 0042576654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare Partners CurrentSince Mar 15, 2024 Accepting new patients
Self Regional Healthcare Partners CurrentSince Mar 15, 2024 Accepting new patients
Self Regional Healthcare CurrentSince Sep 24, 2025 Accepting new patients
Self Regional Healthcare Current Accepting new patients
Self Medical Group CurrentSince Jan 6, 2020 Accepting new patients
Self Regional Healthcare CurrentSince Sep 24, 2025 Accepting new patients
Self Medical Group Family CurrentSince Jan 6, 2020 Accepting new patients
Self Regional Healthcare Partners Current Accepting new patients
Self Medical Group Current Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

75 Remittance Dr
Dept 6793
Chicago, IL 60675

901 W Greenwood St
Ste 6
Abbeville, SC 29620
Phone (864) 366-9011

155 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3146

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

102 Rockcreek Blvd
Greenwood, SC 29649
Phone (864) 725-5020

104 Wells Ave
Greenwood, SC 29646

105 Vinecrest Ct
Ste 1000
Greenwood, SC 29646
Phone (864) 227-5240

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

102 R L Sawyer Md Dr
Saluda, SC 29138
Phone (864) 445-2173

Organizations & group practices 9

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": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1376053249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 885",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296200885",
            "telephone_number": "864-366-9010",
            "fax_number": "864-366-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W GREENWOOD ST STE 6",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296205727",
            "telephone_number": "864-366-9010",
            "fax_number": "864-366-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGDALAS",
        "first_name": "DAVIS",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, SC

Sources for this page

Verify at the official NPI Registry.