Individual provider Active NPI

Erin R McBride, AGNP-C

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1841754595
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22440 Issued in SC
Practice address
1481 Tobias Gadson Blvd Ste 1
Charleston, SC 29407-4879
Phone
(843) 402-3093
Fax
(843) 402-3094
NPI assigned
Jan 28, 2019
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 22440 SC Primary

Addresses

Primary practice location

1481 Tobias Gadson Blvd Ste 1
Charleston, SC 29407-4879

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
SCE469L064OtherSCMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address EMcBride2@centerwelleclinicaldirectplus.com Direct

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
I20190306000477 SC Practitioner - Nurse Practitioner 7719226992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Hospital IncGroup PAC ID 8426958919, 66 clinicians

Practice addresses (Care Compare)

416 Robertson Blvd
Suite B
Walterboro, SC 29488-2952
Phone (843) 782-4608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital, Inc. CurrentSince May 20, 2024 Accepting new patients
Roper Hospital Inc. CurrentSince May 20, 2024 Accepting new patients
Centerwell Senior Primary Care (SC) PC CurrentSince Mar 7, 2022 Accepting new patients
Centerwell Senior Primary Care (SC) PC CurrentSince Mar 7, 2022 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

108 Highway 28 Byp
Anderson, SC 29624
Phone (864) 296-5208

1401 Sam Rittenberg Blvd
Ste 6
Charleston, SC 29407
Phone (843) 973-5393

1481 Tobias Gadson Blvd
Ste 1
Charleston, SC 29407
Phone (843) 402-0367

1855 E Main St
Ste 21A
Spartanburg, SC 29307
Phone (864) 913-4370

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

Interoperability endpoints

  • Direct secure messaging: emcbride2@centerwelleclinicaldirectplus.com
  • Direct secure messaging: emcbride2590737@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.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1841754595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 TOBIAS GADSON BLVD STE 1",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074879",
            "telephone_number": "843-402-3093",
            "fax_number": "843-402-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "ERIN",
        "middle_name": "R",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCE469L064",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EMcBride2@centerwelleclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1401 Sam Rittenberg Blvd Ste 6",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294075031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.