Individual provider Active NPI

Selena Augustine Chamberlain, APRN

  • Family Nurse Practitioner
  • Andrews, SC
National Provider Identifier
1720688807
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24344 Issued in SC
Practice address
701 S Morgan Ave
Andrews, SC 29510-2959
Phone
(843) 264-5253
NPI assigned
Oct 28, 2020
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24344 SC Primary

Addresses

Primary practice location

701 S Morgan Ave
Andrews, SC 29510-2959

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address selena.chamberlain@thg.eclinicaldirectplus.com
Direct Messaging Address schamberlain448674@direct.musc.edu Direct Georgetown Physician Associates LLC

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
I20250307000391 SC Order and Referring Only - Nurse Practitioner 5799196242

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Services, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ms_schamb59@landmarkhealth-direct.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1720688807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MORGAN AVE",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295102959",
            "telephone_number": "843-264-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "SELENA",
        "middle_name": "AUGUSTINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "selena.chamberlain@thg.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "701 S Morgan Ave",
            "city": "Andrews",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295102959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schamberlain448674@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Physician Associates LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 S Morgan Ave",
            "city": "Andrews",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295102959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Andrews, SC

Sources for this page

Verify at the official NPI Registry.