Amelia Jessie Breazeale Seybold, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

30584 Issued in SC

Practice address

60 Bear Dr
Greenville, SC 29605-4458

Phone

(864) 844-9432

Fax

(864) 844-9430

NPI assigned

Jan 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amelia Jessie Breazeale Former name

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Taral Sharma MD PCGroup PAC ID 0244568152, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: newtherapyperspectives.ameliaseybold@152317.advancedmd-direct.com

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.

• Taral Sharma MD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anderson, SC
  • NPI 1477112597
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1831900430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FINANCIAL BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211770",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BEAR DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054458",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Central Park Ln",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781156",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1071 Boiling Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293032201",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Central Park Ln",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781156",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Financial Blvd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211770",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3505 Pelham Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154154",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1721 Ebenezer Rd Ste 265A",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297324103",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Pelham Ln",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296213335",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYBOLD",
        "first_name": "AMELIA",
        "middle_name": "JESSIE BREAZEALE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "30584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "BREAZEALE",
            "middle_name": "JESSIE",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wendy Sexauer, C.O.T.A./L.
• Andrew Sexton, PTA
• Mayo Hunt Sexton
• Sarah Young Sexton, FNP
• Theresa Mary Sexton, APRN
• Adri Seymour, RBT
• Milton Joseph Seymour III, CRNA
• Shelley Seymour, APRN-BC
• SH1 Pelham Opco LLC
• Obadeh Shabaneh

• Psychiatric/Mental Health Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.