Individual provider Active NPI

Melissa S. McCarter, APRN

  • Adult Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1699771972
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1843 Issued in SC
Practice address
529 Mills Ave
Agape Senior Primary Care, Inc.
Greenville, SC 29201-2818
Phone
(803) 726-2350
Fax
(803) 753-9102
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1843 SC Primary

Addresses

Primary practice location

529 Mills Ave
Agape Senior Primary Care, Inc.
Greenville, SC 29201-2818

Mailing address

1624 Main Street
Agape Senior Primary Care, Inc.
Columbia, SC 29201-2818
Phone (803) 726-2350

Other identifiers 6

IdentifierTypeStateIssuer
AA02253365OtherSCMEDICARE PIN
AA02255019OtherSCMEDICARE PIN
P00692348OtherSCRR MEDICARE
AA02254746OtherSCMEDICARE PIN
7004436MedicaidNC
NP0795MedicaidSC

Other names 1

  • Melissa S Ford Former name

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
I20040216000504 SC Practitioner - Nurse Practitioner 6507751062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

380 Serpentine Dr
Suite 200
Spartanburg, SC 29303-3066
Phone (864) 560-7050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
SC House Calls Inc CurrentSince May 15, 2017 Accepting new patients
SC House Calls Inc CurrentSince May 15, 2017 Accepting new patients
Spartanburg Medical Center CurrentSince Sep 1, 2019 Accepting new patients
Spartanburg Medical Center CurrentSince Feb 26, 2023 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

724 Hyatt St
Gaffney, SC 29341
Phone (864) 488-3980

2755 S Highway 14
Ste 2200
Greer, SC 29650
Phone (864) 849-9555

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

100 E Wood St
Ste 300A
Spartanburg, SC 29303
Phone (864) 560-6012

380 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 560-7050

380 Serpentine Dr
Spartanburg, SC 29303
Phone (864) 560-7050

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

407 W South St
Union, SC 29379
Phone (864) 427-4993

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

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1699771972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 MAIN STREET",
            "address_2": "AGAPE SENIOR PRIMARY CARE, INC.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012818",
            "telephone_number": "803-726-2350",
            "fax_number": "803-753-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MILLS AVE",
            "address_2": "AGAPE SENIOR PRIMARY CARE, INC.",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "292012818",
            "telephone_number": "803-726-2350",
            "fax_number": "803-753-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTER",
        "first_name": "MELISSA",
        "middle_name": "S.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "1843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AA02253365",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AA02255019",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00692348",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AA02254746",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004436",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0795",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FORD",
            "middle_name": "S",
            "credential": "FND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.