Active NPI
Melissa Gambrell, APRN
- Psychiatric/Mental Health Nurse Practitioner
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 19683
- Practice address
- 1053 Center Street
SC House Calls Inc.
West Columbia, SC 29169 - Phone
- (800) 491-0909
- NPI assigned
- Oct 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R172248 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 20597 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 19683 | SC | Primary |
Addresses
Primary practice location
1053 Center Street
SC House Calls Inc.
West Columbia, SC 29169
Mailing address
1053 Center Street
SC House Calls Inc.
West Columbia, SC 29169
Phone (800) 491-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3877 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Psychiatric/Mental Health | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Psychiatric/Mental Health | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| Piedmont Physician Network LLC | Current | Accepting new patients |
Locations
7901 Farrow Rd
Columbia, SC 29203
Phone (803) 734-7846
220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662
2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461
200 Herlong Ave S
Ste C
Rock Hill, SC 29732
Phone (803) 323-2775
200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950
Interoperability endpoints
- https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
- melissa.gambrell.p1@direct.scdc.nextgenshare.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- York, SC
- NPI 1194277186
-
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
- Psychiatric Hospital
- Anderson, SC
- NPI 1376595041
Psychiatric/Mental Health
-
- Psychiatric Hospital
- Columbia, SC
- NPI 1609825264
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1821492869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 CENTER STREET",
"address_2": "SC HOUSE CALLS INC.",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 CENTER STREET",
"address_2": "SC HOUSE CALLS INC.",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "800-491-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBRELL",
"first_name": "MELISSA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R172248",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "20597",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "19683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3877",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.