Active NPI
Jessica Taylor Melton
- Family Nurse Practitioner
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20305
- Practice address
- 10630 Clemson Blvd Ste 100
Seneca, SC 29678-4545 - Phone
- (864) 482-6000
- Fax
- (864) 482-7000
- NPI assigned
- Jun 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20305 | SC | Primary |
| Family Nurse Practitioner | 363LF0000X | APN.20305 APRN | SC |
Addresses
Primary practice location
10630 Clemson Blvd Ste 100
Seneca, SC 29678-4545
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-2286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP4004 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmelton290272@direct.ghs.myhfn.org | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160922001641 | SC | Practitioner - Nurse Practitioner | 7618264458 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
10630 Clemson Blvd
Suite 100
Seneca, SC 29678-4545
Phone (864) 482-6000
Hospital & facility affiliations
- Prisma Health Home Health-Upstate
- Prisma Health Oconee Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.20305 APRN | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| St Francis Hospital Inc | Current | Accepting new patients | |
| St. Francis Hospital, Inc. | Current | Accepting new patients | |
| Ich ER Services, LLC | Current | Accepting new patients | |
| Vituity-South Carolina LLC | Current | Accepting new patients | |
| St Francis Hospital Inc | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| St Francis Physician Services Inc | Past | Accepting new patients |
Locations
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800
10630 Clemson Blvd
Ste 100
Seneca, SC 29678
Phone (864) 260-9910
Interoperability endpoints
- jmelton290272@direct.ghs.myhfn.org
Organizations & group practices 12
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.
-
- Health Educator
- Greenville, SC
- NPI 1114542081
-
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1568799955
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1730786096
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1881098945
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Oncology Clinic/Center
- Greenville, SC
- NPI 1659175719
-
- Emergency Medicine Physician
- Greenville, SC
- NPI 1780007807
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greenville, SC
- NPI 1538615653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1407207442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-2286",
"fax_number": "864-365-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10630 CLEMSON BLVD STE 100",
"city": "SENECA",
"state": "SC",
"postal_code": "296784545",
"telephone_number": "864-482-6000",
"fax_number": "864-482-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "JESSICA",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20305",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN.20305 APRN",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP4004",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmelton290272@direct.ghs.myhfn.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jmelton290272@direct.ghs.myhfn.org",
"address_1": "10630 Clemson Blvd Ste 100",
"city": "Seneca",
"state": "SC",
"country_code": "US",
"postal_code": "296784545",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.