Individual provider Active NPI

Eileen M Neilan-Snee, NP

  • Family Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1578639811
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2838 Issued in SC
Practice address
1595 Central Ave
Summerville, SC 29483-5529
Phone
(843) 212-8080
Fax
(843) 789-1521
NPI assigned
Nov 28, 2006
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2838 SC
Family Nurse Practitioner 363LF0000X 2838 SC Primary

Addresses

Primary practice location

1595 Central Ave
Summerville, SC 29483-5529

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 695-6071

Other practice location 1

3495 Iron Horse Rd
Ladson, SC 29456-4319
Phone (843) 793-5970

Other identifiers 1

IdentifierTypeStateIssuer
NP3886MedicaidSC

Other names 1

  • Eileen M Neilan 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
I20061221000364 SC Practitioner - Nurse Practitioner 4284692310 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2838SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Apr 1, 2024 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Apr 1, 2024 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Nov 2, 2020 Accepting new patients
Old Mission Wound Care South Carolina LLC CurrentSince Aug 21, 2024 Accepting new patients
Doctors Care, PA Past Accepting new patients
Gray's Pain Relief Center, LLC PastSince Mar 31, 2014 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients
West Ashley Wellness & Rehabilitation, LLC Past Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

3495 Iron Horse Rd
Ladson, SC 29456
Phone (843) 793-5970

2050 Corporate Centre Dr
Ste 220A
Myrtle Beach, SC 29577
Phone (843) 945-3234

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

4975 Lacross Rd
Ste 200A
North Charleston, SC 29406
Phone (843) 529-3100

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

700 Nexton Square Dr
Ste 138
Summerville, SC 29486

225 Matlage Way
Unit 31
Sugar Land, TX 77487

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1578639811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 CENTRAL AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294835529",
            "telephone_number": "843-212-8080",
            "fax_number": "843-789-1521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 Iron Horse Rd",
            "address_purpose": "LOCATION",
            "city": "Ladson",
            "state": "SC",
            "postal_code": "294564319",
            "country_code": "US",
            "telephone_number": "843-793-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEILAN-SNEE",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "2838",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3886",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "NEILAN",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.