NPIMap

Individual provider Active NPI

Andrea Lynn McDaniel, NP

  • Adult Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1598012346
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
20682 Issued in SC
Practice address
48 Centennial Way
Greenville, SC 29605-4662
Phone
(864) 455-1600
Fax
(864) 522-8005
NPI assigned
Aug 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 20682 SC Primary

Addresses

Primary practice location

48 Centennial Way
Greenville, SC 29605-4662

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other identifiers 1

IdentifierTypeStateIssuer
NP4295MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amcdaniel162800@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170308001023 SC Practitioner - Nurse Practitioner 8224280128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Park Creek Dr
Greenville, SC 29605-4270
Phone (864) 797-7450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20682SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Upstate Current Accepting new patients
Prisma Health-Upstate CurrentSince Jan 30, 2017 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 30, 2017 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 30, 2017 Accepting new patients
Prisma Health-Upstate CurrentSince Jan 30, 2017 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

48 Centennial Way
Greenville, SC 29605
Phone (864) 455-1600

13 Edgewood Dr
Greenville, SC 29605
Phone (864) 271-6060

11 Park Creek Dr
Greenville, SC 29605
Phone (864) 295-2131

15 Park Creek Dr
Greenville, SC 29605
Phone (864) 271-7761

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

6 Doctors Dr
Greenville, SC 29605
Phone (864) 232-6221

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

340 Medical Pkwy
#200
Greer, SC 29650
Phone (864) 797-7940

390 Keowee School Rd
Seneca, SC 29672
Phone (864) 882-8940

Interoperability endpoints

  • Direct secure messaging: amcdaniel162800@direct.ghs.myhfn.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 58

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1344643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1598012346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CENTENNIAL WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054662",
            "telephone_number": "864-455-1600",
            "fax_number": "864-522-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-11",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "20682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4295",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amcdaniel162800@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "amcdaniel162800@direct.ghs.myhfn.org",
            "address_1": "48 Centennial Way",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.