Individual provider Active NPI

Anne Mutter, FNP-C

  • Family Nurse Practitioner
  • Orangeburg, SC
National Provider Identifier
1801566146
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24902 Issued in SC
Practice address
1748 Saint Matthews Rd
Orangeburg, SC 29118-2441
Phone
(803) 536-0613
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 24902 SC Primary

Addresses

Primary practice location

1748 Saint Matthews Rd
Orangeburg, SC 29118-2441

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Other practice location 1

11382 N Jacob Smart Blvd
Ridgeland, SC 29936-2700
Phone (843) 645-9797

Other practice location 2

2220 N Beltline Blvd
Columbia, SC 29204-3907
Phone (839) 600-9101

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
I20220628000347 SC Practitioner - Nurse Practitioner 2860871472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

2220 N Beltline Blvd
Columbia, SC 29204-3907
Phone (839) 600-9101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24902SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Jan 1, 2025 Accepting new patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 Accepting new patients
Prisma Health Medical Group-Midlands PastSince Jan 1, 2025 Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

2220 N Beltline Blvd
Columbia, SC 29204
Phone (839) 600-9101

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

1748 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-0613

Interoperability endpoints

  • Direct secure messaging: amutter825071@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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1801566146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 SAINT MATTHEWS RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182441",
            "telephone_number": "803-536-0613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11382 N Jacob Smart Blvd",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "SC",
            "postal_code": "299362700",
            "country_code": "US",
            "telephone_number": "843-645-9797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 N Beltline Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292043907",
            "country_code": "US",
            "telephone_number": "839-600-9101",
            "fax_number": "864-984-0768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTTER",
        "first_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.