Individual provider Active NPI

Tashia Palmore Terry, NURSE PRACTITIONER

  • Nurse Practitioner
  • Greenwood, SC
National Provider Identifier
1447722533
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22434 Issued in SC
Practice address
105 Vinecrest CT # 510
Greenwood, SC 29646-8031
Phone
(864) 725-4016
Fax
(864) 725-5839
NPI assigned
Dec 30, 2018
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22434 SC Primary

Addresses

Primary practice location

105 Vinecrest CT # 510
Greenwood, SC 29646-8031

Mailing address

116 Seminole Dr
Greenwood, SC 29646-7864
Phone (864) 980-4212

Other practice location 1

116 Seminole Dr
Greenwood, SC 29646-7864
Phone (864) 980-4212

Other practice location 2

10 Enterprise Bolulevard
Greenville, SC 29615-2961
Phone (864) 608-8847

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
I20210610001574 SC Practitioner - Nurse Practitioner 2567793995 Reassigns benefits to 2 organizations

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
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

105 Vinecrest CT
Suite 510
Greenwood, SC 29646-8031
Phone (864) 725-4016

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Aug 1, 2025 Accepting new patients
NHC Healthcare-Greenwood LLC CurrentSince Apr 1, 2024 Accepting new patients
Self Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group Past Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

105 Vinecrest Ct
#510
Greenwood, SC 29646
Phone (864) 725-4016

437 Cambridge Ave E
Greenwood, SC 29646
Phone (864) 223-1950

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

Interoperability endpoints

  • Direct secure messaging: tterry228815@selfregional.direct-ci.net

Organizations & group practices 5

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.

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": "1546128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1447722533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SEMINOLE DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296467864",
            "telephone_number": "864-980-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINECREST CT # 510",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296468031",
            "telephone_number": "864-725-4016",
            "fax_number": "864-725-5839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Seminole Dr",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296467864",
            "country_code": "US",
            "telephone_number": "864-980-4212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Enterprise Bolulevard",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296152961",
            "country_code": "US",
            "telephone_number": "864-608-8847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "TASHIA",
        "middle_name": "PALMORE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-30",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.