Individual provider Active NPI

Melissa Ann Maxwell

  • Family Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1518471192
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21770 Issued in SC
Practice address
4600 Goer Dr Ste 201
North Charleston, SC 29406-6500
Phone
(843) 554-1029
NPI assigned
Nov 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 224494 SC
Family Nurse Practitioner 363LF0000X 21770 SC Primary

Addresses

Primary practice location

4600 Goer Dr Ste 201
North Charleston, SC 29406-6500

Mailing address

1507 Eagle Landing Blvd
Hanahan, SC 29410-8583
Phone (843) 330-2960

Other practice location 1

9330 Medical Plaza Dr
North Charleston, SC 29406-9104
Phone (843) 619-6752

Other names 1

  • Melissa Ann Singletary Former 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
I20190806000178 SC Practitioner - Nurse Practitioner 4880921402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

4115 Dorchester Rd
Suite 100
Charleston, SC 29405-7501
Phone (843) 554-6737

5070 International Blvd
Suite 115
North Charleston, SC 29418-6006
Phone (943) 554-1029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
224494SCMDMedical-Surgical Registered Nurse
21770SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Jun 29, 2019 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Dec 20, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Dec 20, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
American Current Care P.a. CurrentSince Jun 29, 2019 Accepting new patients

Locations

3495 Iron Horse Rd
Ste B
Ladson, SC 29456
Phone (843) 258-5060

4115 Dorchester Rd
Ste 100
North Charleston, SC 29405
Phone (843) 554-6737

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

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.

NPI Registry JSON

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1518471192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 EAGLE LANDING BLVD",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294108583",
            "telephone_number": "843-330-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 GOER DR STE 201",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066500",
            "telephone_number": "843-554-1029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 Medical Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069104",
            "country_code": "US",
            "telephone_number": "843-619-6752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "SC",
            "license": "224494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SINGLETARY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.