Active NPI
Tina Colyar Meree
- Family Medicine Physician
- Moncks Corner, SC
National Provider Identifier
1568176709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26830
- Practice address
- 102 Lee St
Moncks Corner, SC 29461-4423 - Phone
- (843) 412-3541
- NPI assigned
- Jan 12, 2023
- Last updated
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26830 | SC | Primary |
Addresses
Primary practice location
102 Lee St
Moncks Corner, SC 29461-4423
Mailing address
9995 Miles Jamison Rd
Summerville, SC 29485-4423
Phone (843) 821-5808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26830 | SC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1568176709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9995 MILES JAMISON RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294854423",
"telephone_number": "843-821-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 LEE ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294614423",
"telephone_number": "843-412-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREE",
"first_name": "TINA",
"middle_name": "COLYAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-12",
"last_updated": "2023-08-29",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "26830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.