Individual provider Active NPI

Maresa Kay Haynes, APRN

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1447862909
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24315 Issued in SC
Practice address
3516 Highway 153
Greenville, SC 29611-7553
Phone
(864) 729-6626
Fax
(855) 617-4425
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 244339 SC
Family Nurse Practitioner 363LF0000X 24315 SC Primary

Addresses

Primary practice location

3516 Highway 153
Greenville, SC 29611-7553

Mailing address

3516 Highway 153
Greenville, SC 29611-7553
Phone (864) 729-6626

Other names 1

  • Maresa Butler Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maresa.butler.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201028002041 SC Practitioner - Nurse Practitioner 7719397090 Reassigns benefits to 2 organizations
I20250314002651 FL Practitioner - Nurse Practitioner 7719397090

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

3516 Hwy 153
Greenville, SC 29611-7553
Phone (864) 729-6626

Hospital & facility affiliations

  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • V Care Hospice, LLC Hospice, Greer, SC, CCN 421640

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244339SCMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Nov 2, 2020 Accepting new patients
SC House Calls Inc CurrentSince Nov 2, 2020 Accepting new patients

Locations

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: maresa.butler.1@7602.direct.athenahealth.com
  • Direct secure messaging: maresa.butler.1@29601.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1447862909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 HIGHWAY 153",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117553",
            "telephone_number": "864-729-6626",
            "fax_number": "855-617-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 HIGHWAY 153",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117553",
            "telephone_number": "864-729-6626",
            "fax_number": "855-617-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "MARESA",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "SC",
            "license": "244339",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maresa.butler.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "maresa.butler.1@29601.direct.athenahealth.com",
            "address_1": "3516 Highway 153",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296117553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARESA",
            "last_name": "BUTLER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.