Damaris Nicole McClain

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4289 Issued in SC

Practice address

5900 N Main St
Columbia, SC 29203-6227

Phone

(803) 888-5425

Fax

(803) 830-5446

NPI assigned

Feb 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Damaris Nicole McClain Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Intuitive Home Health Services LLC

  • Family Nurse Practitioner
  • Rock Hill, SC
  • NPI 1801265194
  NPD (past) Authorized official
• Advance Behavioral Medicine. LLC

  • Psychiatry Physician
  • Rock Hill, SC
  • NPI 1770542540
  NPD (past)
• Andrea Hope Speech Pathology LLC

  • Speech-Language Pathologist
  • Rock Hill, SC
  • NPI 1942568829
  NPD (past)
• Jewell Family and Elder Medicine PA

  • Geriatric Medicine (Family Medicine) Physician
  • Rock Hill, SC
  • NPI 1215982533

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1699007625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036227",
            "telephone_number": "803-888-5425",
            "fax_number": "803-830-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036227",
            "telephone_number": "803-888-5425",
            "fax_number": "803-830-5446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 Yanceyville St Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274056961",
            "country_code": "US",
            "telephone_number": "336-790-5400",
            "fax_number": "336-790-2714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "DAMARIS",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004703",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "4289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1770",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAMARIS",
            "last_name": "MCCLAIN",
            "middle_name": "NICOLE",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lauren Elizabeth McCaskill
• Richard Dean McCaughan, DC
• Kaziyah Alnayja McCauley
• Melissa Slice McCawley, RN
• Cassandra McClain
• Ruth Rowe McClary
• Tameka McClary
• Vernet McClary
• Michael C McClay, O.D.
• Mary Miller McClellan

• Family Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.