Individual provider Active NPI

Selma Saunders, NP

  • Family Nurse Practitioner
  • Pelion, SC
National Provider Identifier
1609419449
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23344 Issued in SC
Practice address
8063 Edmund Hwy
Pelion, SC 29123-9805
Phone
(803) 894-3736
NPI assigned
Oct 24, 2019
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 23344 SC Primary

Addresses

Primary practice location

8063 Edmund Hwy
Pelion, SC 29123-9805

Mailing address

512 E Butler St
Lexington, SC 29072-3510
Phone (803) 348-8777

Other names 1

  • Selma Hadziahmetovic 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
I20200205001481 SC Practitioner - Nurse Practitioner 8426484734 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. Family Medicine Current Accepting new patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Nov 9, 2019 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Nov 9, 2019 Accepting new patients

Locations

169 Laurelhurst Ave
Columbia, SC 29210
Phone (803) 730-0742

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

8063 Edmund Hwy
Pelion, SC 29123
Phone (803) 894-3736

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.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1609419449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E BUTLER ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723510",
            "telephone_number": "803-348-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8063 EDMUND HWY",
            "city": "PELION",
            "state": "SC",
            "postal_code": "291239805",
            "telephone_number": "803-894-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "SELMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELMA",
            "last_name": "HADZIAHMETOVIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pelion, SC

Sources for this page

Verify at the official NPI Registry.