Individual provider Active NPI

Jessica Taylor Melton

  • Family Nurse Practitioner
  • Seneca, SC
National Provider Identifier
1407207442
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20305 Issued in SC
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

Updated by the provider on May 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NP4004MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 GroupGroup PAC ID 8325950983, 2,467 clinicians

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 Home health agency, Greenville, SC, CCN 427029
  • Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.20305 APRNSCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jul 6, 2020 Accepting new patients
St Francis Hospital Inc CurrentSince Feb 1, 2017 Accepting new patients
St. Francis Hospital, Inc. Current Accepting new patients
Ich ER Services, LLC CurrentSince May 1, 2019 Accepting new patients
Vituity-South Carolina LLC CurrentSince Jan 1, 2021 Accepting new patients
St Francis Hospital Inc CurrentSince Feb 1, 2017 Accepting new patients
Prisma Health University Medical Group CurrentSince Jul 6, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.