Individual provider Active NPI

Molly A McBrayer, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1477949774
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
19414 Issued in SC
Practice address
1520 Old Trolley Rd Ste 101
Summerville, SC 29485-5292
Phone
(843) 402-0227
Fax
(843) 402-0232
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 19414 SC Primary

Addresses

Primary practice location

1520 Old Trolley Rd Ste 101
Summerville, SC 29485-5292

Mailing address

1938 Charlie Hall Blvd Unit B
Charleston, SC 29414-6099
Phone (843) 402-0227

Other practice location 1

295 Midland Pkwy
Summerville, SC 29485-8104
Phone (843) 832-5000

Other practice location 2

1938 Charlie Hall Blvd Unit B
Charleston, SC 29414-6099
Phone (843) 402-0227

Other identifiers 1

IdentifierTypeStateIssuer
NP3245MedicaidSC

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
I20150728005291 SC Practitioner - Nurse Practitioner 0749594240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4559

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Colleton Medical Center Hospital, Walterboro, SC, CCN 420030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC CurrentSince Jan 1, 2016 Accepting new patients
Hampton Regional Medical Center CurrentSince Aug 26, 2023 Accepting new patients
Hampton Regional Medical Center CurrentSince Aug 26, 2023 Accepting new patients

Locations

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1477949774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 CHARLIE HALL BLVD UNIT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146099",
            "telephone_number": "843-402-0227",
            "fax_number": "843-402-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 OLD TROLLEY RD STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855292",
            "telephone_number": "843-402-0227",
            "fax_number": "843-402-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Midland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858104",
            "country_code": "US",
            "telephone_number": "843-832-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1938 Charlie Hall Blvd Unit B",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294146099",
            "country_code": "US",
            "telephone_number": "843-402-0227",
            "fax_number": "843-402-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRAYER",
        "first_name": "MOLLY",
        "middle_name": "A",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "19414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3245",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.