Individual provider Active NPI

Meredith Ellenburg Greene, FNP-C

  • Nurse Practitioner
  • Lancaster, SC
National Provider Identifier
1629565403
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26311 Issued in SC
Practice address
800 W Meeting St
Lancaster, SC 29720-2202
Phone
(843) 792-1414
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 231426 NC
Family Nurse Practitioner 363LF0000X 5010474 NC
School Nurse Practitioner 363LS0200X 5010474 NC
Nurse Practitioner 363L00000X 26311 SC Primary

Addresses

Primary practice location

800 W Meeting St
Lancaster, SC 29720-2202

Mailing address

PO Box 935722
Atlanta, GA 31193-5722
Phone (843) 792-6200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200130000630 NC Practitioner - Nurse Practitioner 7810323433 Reassigns benefits to 4 organizations
I20220823002719 SC Practitioner - Nurse Practitioner 7810323433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26311SCMDClinical Social Worker
231426NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Current Accepting new patients
The Center for Rural Health Innovation Nurse Practitioner CurrentSince Jun 19, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 20, 2020 Accepting new patients
Musc Community Physicians CurrentSince Jul 14, 2022 Accepting new patients
Musc Community Physicians Current Accepting new patients
Carolinas Emergency Physicians, P.a. CurrentSince Dec 15, 2021 Accepting new patients
Musc Community Physicians CurrentSince Jul 14, 2022 Accepting new patients
Arboretum Urgent Care Center CurrentSince Jan 20, 2020 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 20, 2020 Accepting new patients
Carolinas Emergency Physicians, P.a. CurrentSince Dec 15, 2021 Accepting new patients

Locations

12190 NC 226 N
Bakersville, NC 28705
Phone (828) 385-4303

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

181 Daniel Rd
Ste A
Forest City, NC 28043
Phone (828) 287-5904

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

167 Locust St
Ste 204
Spruce Pine, NC 28777
Phone (828) 467-4415

120 Oak Ave
Spruce Pine, NC 28777

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

Interoperability endpoints

  • Direct secure messaging: mgreene412203@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14072/brand/1/csg/1/fhir/r4
  • Direct secure messaging: meredith.greene.1@14072.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1629565403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311935722",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202202",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MEREDITH",
        "middle_name": "ELLENBURG",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "231426",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010474",
            "primary": false
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "NC",
            "license": "5010474",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "26311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "800 W Meeting St",
            "city": "Lancaster",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297202202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.