Individual provider Active NPI

Melissa Ann May, FNP

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1629302047
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3890 Issued in SC
Practice address
2085 Henry Tecklenburg Dr
Suite 110
Charleston, SC 29414-7710
Phone
(843) 958-2664
Fax
(843) 958-2672
NPI assigned
Oct 1, 2009
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 3890 SC Primary

Addresses

Primary practice location

2085 Henry Tecklenburg Dr
Suite 110
Charleston, SC 29414-7710

Mailing address

1203 Old Trolley Rd
Ste F
Summerville, SC 29485-5296
Phone (843) 486-0999

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
I20101019000749 SC Practitioner - Nurse Practitioner 4688867955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Healthcare of Charleston LLC CurrentSince May 11, 2022 Accepting new patients
Gray's Pain Relief Center, LLC PastSince May 11, 2022 Accepting new patients
West Ashley Wellness & Rehabilitation, LLC Past Accepting new patients

Locations

122 S Goose Creek Blvd
#B
Goose Creek, SC 29445
Phone (843) 553-2211

2039 N Main St
Summerville, SC 29486
Phone (843) 771-2024

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1629302047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 OLD TROLLEY RD",
            "address_2": "STE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855296",
            "telephone_number": "843-486-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 HENRY TECKLENBURG DR",
            "address_2": "SUITE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147710",
            "telephone_number": "843-958-2664",
            "fax_number": "843-958-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.