Individual provider Active NPI

Meghan Head, NP

  • Family Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1477150340
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23511 Issued in SC
Practice address
1220 Sumner Ave
North Charleston, SC 29406-3822
Phone
(843) 225-1115
NPI assigned
Oct 5, 2020
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 23511 SC
Family Nurse Practitioner 363LF0000X 23511 SC Primary
Family Medicine Physician 207Q00000X 23511 SC

Addresses

Primary practice location

1220 Sumner Ave
North Charleston, SC 29406-3822

Mailing address

4975 Lacross Rd Ste 200B
North Charleston, SC 29406-6531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201214002670 SC Practitioner - Nurse Practitioner 1951713031 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc. Current Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Nov 5, 2022 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Nov 5, 2022 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Nov 5, 2022 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Nov 5, 2022 Accepting new patients
Fetter Health Care Network Inc CurrentSince Nov 5, 2022 Accepting new patients

Locations

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

51 Nassau St
Charleston, SC 29403

106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995

403 Stony Landing Rd
Moncks Corner, SC 29461
Phone (843) 761-8282

6401 Dorchester Rd
North Charleston, SC 29418
Phone (843) 207-3019

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600

700 N Pine St
Summerville, SC 29483
Phone (843) 549-6853

302 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-6853

302 Medical Park Dr
Ste 111
Walterboro, SC 29488
Phone (843) 549-6853

5117 Baptist Hill Rd
Yonges Island, SC 29449
Phone (843) 723-9582

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1477150340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 LACROSS RD STE 200B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SUMNER AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063822",
            "telephone_number": "843-225-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "MEGHAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "23511",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23511",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.