Individual provider Active NPI

Teresa Antley, MSN, APRN FNP-C

  • Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1477311710
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28544 Issued in SC
Practice address
600 N Fant St
Anderson, SC 29621-5704
Phone
(864) 512-2000
NPI assigned
Mar 11, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28544 SC Primary
Emergency Registered Nurse 163WE0003X 216967 SC

Addresses

Primary practice location

600 N Fant St
Anderson, SC 29621-5704

Mailing address

116 Arbor St
Denmark, SC 29042-1357
Phone (803) 824-3362

Other practice location 1

7613 Garners Ferry Rd
Columbia, SC 29209-3811
Phone (839) 600-9190

Other names 1

  • Teresa D Antley Other name

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
I20240409001436 SC Practitioner - Nurse Practitioner 1759729809 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
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)

7613 Garners Ferry Rd
Columbia, SC 29209-3811
Phone (839) 600-9190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
216967SCMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Apr 15, 2024 Accepting new patients
Anmed Health Current Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Sep 16, 2024 Accepting new patients
Anmed Health CurrentSince Apr 15, 2024 Accepting new patients
Anmed Health CurrentSince Apr 15, 2024 Accepting new patients

Locations

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

7613 Garners Ferry Rd
Columbia, SC 29209
Phone (839) 600-9190

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

Interoperability endpoints

  • Direct secure messaging: tantley78461@direct.anmedhealth.net
  • Direct secure messaging: tantley813337@direct.ghs.myhfn.org
  • Direct secure messaging: teresa.antley.1@18835.direct.athenahealth.com

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1477311710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ARBOR ST",
            "city": "DENMARK",
            "state": "SC",
            "postal_code": "290421357",
            "telephone_number": "803-824-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215704",
            "telephone_number": "864-512-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7613 Garners Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292093811",
            "country_code": "US",
            "telephone_number": "839-600-9190",
            "fax_number": "839-600-9195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTLEY",
        "first_name": "TERESA",
        "credential": "MSN, APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "28544",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "SC",
            "license": "216967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "ANTLEY",
            "middle_name": "D",
            "credential": "MSN, APRN FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.