Active NPI
Marcus Markette Tedder, APRN-BC
- Gerontology Nurse Practitioner
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- NP000242
- Practice address
- 1005 E Cheves St Ste 100
Florence, SC 29506-2707 - Phone
- (843) 777-7900
- Fax
- (843) 777-7925
- NPI assigned
- Aug 17, 2020
- Last updated
- Jul 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NP000242 | GA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 24230 | SC | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | GAA-NP000242 | GA |
Addresses
Primary practice location
1005 E Cheves St Ste 100
Florence, SC 29506-2707
Mailing address
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
Other practice location 1
3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Phone (803) 434-8323
Other practice location 2
109 Doctors Dr
Greenville, SC 29605-5608
Phone (864) 797-7150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP7151 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000
1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-5995
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP000242 | GA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Nurse Practitioner | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Critical Care Medicine | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Piedmont Cardiology of Atlanta, LLC | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Piedmont Specialty Hospital Billing LLC | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc. | Acute Care | Current | Accepting new patients |
| Emory Medical Care Foundation | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
1237 Harding Pl
Ste 3100
Charlotte, NC 28204
100 Medical Park Dr
Ste 210
Concord, NC 28025
Phone (704) 403-6100
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
3 Richland Medical Park Dr
Ste 310
Columbia, SC 29203
Phone (803) 434-8323
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
1005 E Cheves St
Florence, SC 29506
Phone (843) 777-7900
1005 E Cheves St
Ste 100
Florence, SC 29506
Phone (843) 777-7900
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
109 Doctors Dr
Greenville, SC 29605
Phone (864) 797-7035
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Interoperability endpoints
- mtedder23411@directmcleodehealth.org
- mtedder541287@direct.ghs.myhfn.org
Organizations & group practices 13
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.
-
dba Cbo MRMC Emergency
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Critical Care Medicine
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
Nurse Practitioner
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
dba McLeod Outpatient Pharmacy
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Imaging - Kenilworth
- Vascular Surgery Physician
- Charlotte, NC
- NPI 1881624807
Acute Care
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1982860490
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
-
dba Piedmont Augusta Hospital
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1407467038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E CHEVES ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062617",
"telephone_number": "843-777-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 E CHEVES ST STE 100",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062707",
"telephone_number": "843-777-7900",
"fax_number": "843-777-7925"
}
],
"practiceLocations": [
{
"address_1": "3 Richland Medical Park Dr Ste 310",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036862",
"country_code": "US",
"telephone_number": "803-434-8323",
"fax_number": "803-434-8326",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 Doctors Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296055608",
"country_code": "US",
"telephone_number": "864-797-7150",
"fax_number": "894-797-7155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEDDER",
"first_name": "MARCUS",
"middle_name": "MARKETTE",
"name_prefix": "Mr.",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "NP000242",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "SC",
"license": "24230",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "GAA-NP000242",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP7151",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.