Individual provider Active NPI

Breanna Emily Gallagher, FNP

  • Family Nurse Practitioner
  • Clemson, SC
National Provider Identifier
1780366138
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27714 Issued in SC
Practice address
1300 Tiger Blvd
Clemson, SC 29631-1114
Phone
(864) 653-6724
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27714 SC Primary
Family Nurse Practitioner 363LF0000X 5023899 NC

Addresses

Primary practice location

1300 Tiger Blvd
Clemson, SC 29631-1114

Mailing address

1300 Tiger Blvd
Clemson, SC 29631-1114

Other practice location 1

1605 Four Seasons Blvd
Hendersonville, NC 28792-2857
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231102002381 SC Practitioner - Nurse Practitioner 5395191977 Reassigns benefits to 4 organizations
I20260217002618 NC Practitioner - Nurse Practitioner 5395191977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic South Carolina LLCGroup PAC ID 8527126861, 113 clinicians

Practice addresses (Care Compare)

1300 Tiger Blvd
Clemson, SC 29631-1114
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5023899NCMDFamily Nurse Practitioner
27714SCMDFamily Nurse Practitioner

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Feb 12, 2026 Accepting new patients
Minuteclinic Primary Care North Carolina PLLC Family CurrentSince Feb 12, 2026 Accepting new patients
Musc Community Physicians CurrentSince Nov 1, 2023 Accepting new patients
Musc Community Physicians CurrentSince Nov 1, 2023 Accepting new patients
Musc Community Physicians Current Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Jan 16, 2025 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Jan 16, 2025 Accepting new patients
Minuteclinic Primary Care South Carolina LLC Family CurrentSince Sep 17, 2025 Accepting new patients

Locations

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

1605 Four Seasons Blvd
Hendersonville, NC 28792
Phone (828) 693-4186

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1344 Haile St
Camden, SC 29020
Phone (803) 254-3376

1300 Tiger Blvd
Clemson, SC 29631
Phone (864) 653-6724

216 E Marion St
Kershaw, SC 29067
Phone (803) 475-3350

8995 University Blvd
North Charleston, SC 29406
Phone (843) 410-0701

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: bgallagher448000@direct.musc.edu

Organizations & group practices 8

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1780366138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 TIGER BLVD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 TIGER BLVD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311114",
            "telephone_number": "864-653-6724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 Four Seasons Blvd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287922857",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "BREANNA",
        "middle_name": "EMILY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27714",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.