Active NPI
Chenille Eidson, FNP
- Family Nurse Practitioner
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18870
- Practice address
- 201 N. Main Street
Greenville, SC 29601 - Phone
- (864) 603-5600
- Fax
- (864) 603-5601
- NPI assigned
- Jun 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18870 | SC | Primary |
Addresses
Primary practice location
201 N. Main Street
Greenville, SC 29601
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
9 Hawthorne Park Court
Greenville, SC 29615
Phone (864) 603-5600
Other practice location 2
312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 603-5600
Other practice location 3
727 SE Main St Ste 320
Simpsonville, SC 29681-3249
Phone (864) 454-6440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Other names 1
- Chenille Taylor
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141015001474 | SC | Practitioner - Nurse Practitioner | 0345461414 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123
727 SE Main St
Simpsonville, SC 29681-3248
727 SE Main St
Suite 300
Simpsonville, SC 29681-3249
Phone (864) 522-1170
727 Semain St
Simpsonville, SC 29681-3249
Hospital & facility affiliations
- Prisma Health Hillcrest Hospital
- Prisma Health Greenville Memorial Hospital
- Prisma Health Patewood Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18870 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Musc Affiliate Physicians | Current | Accepting new patients | |
| Musc Affiliate Physicians | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| University Medical Group Department of OBGYN | Past | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
2 Bella Grove Dr
Greenville, SC 29607
Phone (864) 603-5600
525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600
201 N Main St
Greenville, SC 29601
Phone (864) 603-5600
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
9 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 286-1040
145 E Poinsett St
Greer, SC 29651
Phone 86460356003222
312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 603-5600
727 SE Main St
Ste 320
Simpsonville, SC 29681
Phone (864) 454-6440
Interoperability endpoints
- ctaylor121626@direct.ghs.myhfn.org
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 and National Provider Directory roles.
-
- Health Educator
- Greenville, SC
- NPI 1114542081
-
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1568799955
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1730786096
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1881098945
-
- Family Medicine Physician
- Charleston, SC
- NPI 1548849482
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Multi-Specialty Clinic/Center
- Greenville, SC
- NPI 1710944749
Hospital & facility affiliations 48
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1689088932",
"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": "201 N. MAIN STREET",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29601",
"telephone_number": "864-603-5600",
"fax_number": "864-603-5601"
}
],
"practiceLocations": [
{
"address_1": "9 HAWTHORNE PARK COURT",
"address_purpose": "LOCATION",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"country_code": "US",
"telephone_number": "864-603-5600",
"fax_number": "864-603-5601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "312 HARRISON BRIDGE RD",
"address_purpose": "LOCATION",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "29680",
"country_code": "US",
"telephone_number": "864-603-5600",
"fax_number": "864-603-5601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "727 SE Main St Ste 320",
"address_purpose": "LOCATION",
"city": "Simpsonville",
"state": "SC",
"postal_code": "296813249",
"country_code": "US",
"telephone_number": "864-454-6440",
"fax_number": "864-454-6445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EIDSON",
"first_name": "CHENILLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-15",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHENILLE",
"last_name": "TAYLOR",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.