Andrea Melton, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1441 Issued in SC

Practice address

12650 Jackson Blvd
Columbia, SC 29207-6129

Phone

(803) 873-1552

NPI assigned

Jul 24, 2013

Last updated

Oct 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea M Melton Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1467894030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 FARMING CREEK WAY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 JACKSON BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292076129",
            "telephone_number": "803-873-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "ANDREA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MELTON",
            "middle_name": "M",
            "credential": "ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larry B. Mellick, MD
• Theresa Ellen Melloh, PHD
• Jennifer Melonas, MSP, CCC-SLP
• Natalia Nicole Meloro, APRN
• Melton R Stuckey (Columbia Family Practice)
• Bryan Melton, LISW
• Tonya Leigh Melton, ANP
• Caryn Frances Melvin, PHD
• Memory Fit LLC
• Jose D Menachery, M.D.

• Athletic Trainer in Columbia, SC
• Providers in Columbia, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.