Individual provider Active NPI

Mariel Angelee Hamilton, NP

  • Gerontology Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1497466353
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26781 Issued in SC
Practice address
203 Mills Ave
Greenville, SC 29605-4019
Phone
(864) 271-2147
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26781 SC Primary

Addresses

Primary practice location

203 Mills Ave
Greenville, SC 29605-4019

Mailing address

203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844

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
I20230906004328 SC Practitioner - Nurse Practitioner 8729449137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Nephrology PAGroup PAC ID 2961467733, 37 clinicians

Practice addresses (Care Compare)

110 B Hospital Dr
Simpsonville, SC 29681-3226
Phone (864) 962-1080

1410 B John B White Sr Blvd
Spartanburg, SC 29306-3927
Phone (864) 529-9390

203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844

45 Aaron Tippin Dr
Greer, SC 29650-1256
Phone (864) 848-5555

Hospital & facility affiliations

  • Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023
  • Prisma Health Hillcrest Hospital Hospital, Simpsonville, SC, CCN 420037
  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Nephrology PA CurrentSince Jun 6, 2023 Accepting new patients
Carolina ASC LLC PastSince May 1, 2024 Accepting new patients

Locations

803 N Fant St
Ste 2A
Anderson, SC 29621
Phone (864) 225-7401

455 E Whitner St
Anderson, SC 29624
Phone (864) 759-0314

400 Plaza Cir
Ste H
Clinton, SC 29325
Phone (864) 833-4166

121 Commerce Blvd
Ste B
Easley, SC 29642
Phone (864) 859-3038

406 Tiffany Park
#B
Gaffney, SC 29341
Phone (864) 663-2736

110 Chalmers Rd
Unit A
Greenville, SC 29605
Phone (864) 977-8200

203 Mills Ave
Greenville, SC 29605
Phone (803) 271-1844

110 Chalmers Rd
Unit B
Greenville, SC 29605

108 W Church St
Greer, SC 29650
Phone (864) 469-7733

45 Aaron Tippin Dr
Greer, SC 29650
Phone (864) 848-5555

110B Hospital Dr
Simpsonville, SC 29681
Phone (864) 382-6940

1410 John B White SR Blvd
Spartanburg, SC 29306
Phone (864) 271-1488

Interoperability endpoints

  • Direct secure messaging: mhamilton628661@direct.ghs.myhfn.org

Organizations & group practices 2

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 58

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1497466353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-1844",
            "fax_number": "864-271-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "MARIEL",
        "middle_name": "ANGELEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "26781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.