Individual provider Active NPI

Michelle Wheeler Evette, PA

  • Physician Assistant
  • Greenville, SC
National Provider Identifier
1740249150
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1917 Issued in SC
Practice address
890 S Pleasantburg Dr
Greenville, SC 29607-2455
Phone
(864) 271-1450
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000103903 NC
Physician Assistant 363A00000X 1917 SC Primary

Addresses

Primary practice location

890 S Pleasantburg Dr
Greenville, SC 29607-2455

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

106 Physicians Dr
Greer, SC 29650-2445
Phone (864) 797-9100

Other identifiers 1

IdentifierTypeStateIssuer
2280PAMedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mevette31785@direct.ghs.myhfn.org Health Information Exchange (HIE)

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
I20150928002926 SC Practitioner - Physician Assistant 2769370782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000103903NCMDPhysician Assistant
1917SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Aug 31, 2015 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients
Prisma Health-Upstate Past Accepting new patients

Locations

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

890 S Pleasantburg Dr
Greenville, SC 29607
Phone (864) 271-1450

106 Physicians Dr
Greer, SC 29650
Phone (864) 797-9100

325 Medical Pkwy
Ste 150
Greer, SC 29650
Phone (864) 797-9300

1413 John B White SR Blvd
Ste D
Spartanburg, SC 29306
Phone (864) 587-5768

Interoperability endpoints

  • Direct secure messaging: mevette31785@direct.ghs.myhfn.org

Organizations & group practices 3

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1740249150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 S PLEASANTBURG DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072455",
            "telephone_number": "864-271-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296502445",
            "country_code": "US",
            "telephone_number": "864-797-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVETTE",
        "first_name": "MICHELLE",
        "middle_name": "WHEELER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "000103903",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2280PA",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mevette31785@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Provider",
            "address_1": "106 Physicians Dr",
            "city": "Greer",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296502445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.