Individual provider Active NPI

Scottie M Shelley, APRN

  • Acute Care Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1689948911
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
17720 Issued in SC
Practice address
SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203
Phone
(800) 491-0909
Fax
(866) 527-0937
NPI assigned
Mar 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 229989 NC
Acute Care Nurse Practitioner 363LA2100X 17720 SC Primary

Addresses

Primary practice location

SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203

Mailing address

SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203
Phone (800) 491-0909

Other identifiers 1

IdentifierTypeStateIssuer
NP2252MedicaidSC

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
I20120917000010 SC Practitioner - Nurse Practitioner 9739342494 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229989NCMDHospitalist Physician
17720SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of South Carolina PC CurrentSince Mar 27, 2020 Accepting new patients
SC House Calls Inc CurrentSince Aug 1, 2012 Accepting new patients
Theoria Medical CurrentSince Jan 10, 2023 Accepting new patients
SC House Calls Inc CurrentSince Aug 1, 2012 Accepting new patients
Apogee Medical Group South Carolina CurrentSince Mar 17, 2018 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

213 Tanglewood Ct
Ridgeway, SC 29130
Phone (770) 939-1288

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

2318 Sunset Blvd
West Columbia, SC 29169
Phone (803) 454-3510

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: scottie.shelley.1@7602.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1689948911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC",
            "address_2": "111 DOCTORS CIRCLE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909",
            "fax_number": "866-527-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC",
            "address_2": "111 DOCTORS CIRCLE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909",
            "fax_number": "866-527-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "SCOTTIE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "229989",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "17720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2252",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.