Individual provider Active NPI

Melissa Lorraine Kahley, APRN

  • Pediatrics Physician
  • Greenville, SC
National Provider Identifier
1417728908
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27418 Issued in SC
Practice address
St. Francis Eastside Medical, 10 Enterprise Blvd # 105,
Greenville, SC 29615
Phone
(864) 551-2422
Fax
(864) 551-2424
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 27418 SC Primary
Family Nurse Practitioner 363LF0000X 27418 SC

Addresses

Primary practice location

St. Francis Eastside Medical, 10 Enterprise Blvd # 105,
Greenville, SC 29615

Mailing address

3 Violet CT
Greenville, SC 29615-5543
Phone (864) 380-7596

Other practice location 1

11402 Anderson Rd
Greenville, SC 29611-7557
Phone (864) 631-2799

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
I20251230000132 SC Practitioner - Nurse Practitioner 9638665649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

11402 Anderson Rd
Greenville, SC 29611-7557
Phone (864) 990-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27418SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Dec 16, 2025 Accepting new patients
Express Pediatric Care, P.a. Pediatrics PastSince Jan 14, 2024 Accepting new patients

Locations

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

11402 Anderson Rd
Powdersville, SC 29611
Phone (864) 631-2799

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1417728908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VIOLET CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155543",
            "telephone_number": "864-380-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. FRANCIS EASTSIDE MEDICAL, 10 ENTERPRISE BLVD # 105,",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-551-2422",
            "fax_number": "864-551-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11402 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296117557",
            "country_code": "US",
            "telephone_number": "864-631-2799",
            "fax_number": "864-522-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHLEY",
        "first_name": "MELISSA",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "27418",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.