Individual provider Active NPI

Denise Green Smalls, FNP

  • Family Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1508226192
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30531 Issued in SC
Practice address
300 Callen Blvd Ste 330
Summerville, SC 29486-2816
Phone
(843) 789-1800
Fax
(843) 606-8036
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30531 SC Primary

Addresses

Primary practice location

300 Callen Blvd Ste 330
Summerville, SC 29486-2816

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

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
I20250804000830 SC Practitioner - Nurse Practitioner 8527576313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians

Practice addresses (Care Compare)

300 Callen Blvd
Suite 330
Summerville, SC 29486-2816
Phone (843) 577-7550

Hospital & facility affiliations

  • Roper Hospital Hospital, Charleston, SC, CCN 420087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30531SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper St. Francis Specialty Physicians CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 25, 2025 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 25, 2025 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

2097 Henry Tecklenburg Dr
Ste 311W
Charleston, SC 29414
Phone (843) 402-1084

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

8536 Palmetto Commerce Pkwy
Ste 501
Ladson, SC 29456
Phone (843) 203-2260

3508 S Live Oak Dr
Ste 200
Moncks Corner, SC 29461
Phone (843) 578-2330

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

300 Callen Blvd
Ste 330
Summerville, SC 29486
Phone (843) 577-7550

Interoperability endpoints

  • Direct secure messaging: dgreensmalls2962974@direct.bsmhealth.org

Organizations & group practices 5

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 1

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": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1508226192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CALLEN BLVD STE 330",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862816",
            "telephone_number": "843-789-1800",
            "fax_number": "843-606-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLS",
        "first_name": "DENISE",
        "middle_name": "GREEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.