NPIMap

Individual provider Active NPI

Melanie Wells Miller, PA-C

  • Physician Assistant
  • N Charleston, SC
National Provider Identifier
1770241747
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4156 Issued in SC
Practice address
3815 Faber Place Dr
N Charleston, SC 29405-8533
Phone
(843) 767-9312
Fax
(843) 767-9313
NPI assigned
Dec 7, 2021
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4156 SC Primary

Addresses

Primary practice location

3815 Faber Place Dr
N Charleston, SC 29405-8533

Mailing address

PO Box 30907
Charleston, SC 29417-0907
Phone (843) 767-9312

Other names 1

  • Melanie C Wells Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211221002012 SC Practitioner - Physician Assistant 9739570045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Nephrology Associates, LLCGroup PAC ID 9638138209, 18 clinicians

Practice addresses (Care Compare)

3815 Faber Place Dr
North Charleston, SC 29405-8533
Phone (843) 767-9260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.52 of 100Reported as group
Quality
84.14
Promoting interoperability
97
Improvement activities
40
Cost
80.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4156SCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital Inc. CurrentSince Jan 18, 2022 Accepting new patients
Roper Hospital, Inc. CurrentSince Jan 18, 2022 Accepting new patients

Locations

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

149 Saint James Ave
Goose Creek, SC 29445
Phone (843) 724-3456

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: mwells1252447@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1770241747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30907",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294170907",
            "telephone_number": "843-767-9312",
            "fax_number": "843-767-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 FABER PLACE DR",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294058533",
            "telephone_number": "843-767-9312",
            "fax_number": "843-767-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELANIE",
        "middle_name": "WELLS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "WELLS",
            "middle_name": "C",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.