Active NPI
Scottie M Shelley, APRN
- Acute Care Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 17720
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2252 | Medicaid | SC |
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 229989 | NC | MD | Hospitalist Physician |
| 17720 | SC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of South Carolina PC | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Apogee Medical Group South Carolina | Current | 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
- 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.
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.