Individual provider Active NPI

Melissa Marie Mayhew, FNP-C

  • Family Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1518365899
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19139 Issued in SC
Practice address
8761 Dorchester Rd
Suite 230
North Charleston, SC 29420-7321
Phone
(843) 471-2273
Fax
(843) 377-8180
NPI assigned
Dec 18, 2014
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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 19139 SC Primary

Addresses

Primary practice location

8761 Dorchester Rd
Suite 230
North Charleston, SC 29420-7321

Mailing address

PO Box 13955
Charleston, SC 29422-3955
Phone (843) 471-2273

Other identifiers 1

IdentifierTypeStateIssuer
NP3417MedicaidSC

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
I20150520000261 SC Practitioner - Nurse Practitioner 0042530792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Doctors LLCGroup PAC ID 0840466017, 44 clinicians

Practice addresses (Care Compare)

418 Folly Rd
Ab
Charleston, SC 29412-2625
Phone (843) 225-8320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
19139SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Doctors, LLC CurrentSince May 1, 2015 Accepting new patients
Liberty Doctors LLC CurrentSince May 1, 2015 Accepting new patients
Liberty Doctors LLC Past Accepting new patients

Locations

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

8761 Dorchester Rd
Ste 230
North Charleston, SC 29420
Phone (843) 225-8320

Interoperability endpoints

  • Direct secure messaging: mmeador@libertydoctors.ssdirect.aprima.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1518365899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13955",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294223955",
            "telephone_number": "843-471-2273",
            "fax_number": "843-377-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 DORCHESTER RD",
            "address_2": "SUITE 230",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294207321",
            "telephone_number": "843-471-2273",
            "fax_number": "843-377-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHEW",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3417",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.