NPIMap

Individual provider Active NPI

Melissa Douge, DO

  • Internal Medicine Physician
  • Fountain Inn, SC
National Provider Identifier
1851913610
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
83224 Issued in SC
Practice address
200 N Nelson Dr
Fountain Inn, SC 29644-9021
Phone
(864) 522-6270
Fax
(864) 522-6275
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 49

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 49

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Campbell Univ School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical Group (2,467 clinicians)

Practice addresses (Care Compare)

200 N Nelson Dr
Fountain Inn, SC 29644-9021
Phone (864) 522-6270

Hospital & facility affiliations

  • Prisma Health Home Health-Upstate Home health agency · Greenville, SC · CCN 427029
  • Prisma Health Hillcrest Hospital Hospital · Simpsonville, SC · CCN 420037
  • Prisma Health Greenville Memorial Hospital Hospital · Greenville, SC · CCN 420078
  • Prisma Health Patewood Hospital Hospital · Greenville, SC · CCN 420102

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231115001612 SC Practitioner - Internal Medicine 8921425323 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group Internal Medicine Current
since Aug 1, 2023		 Accepting new patients
Prisma Health University Medical Group Current
since Aug 1, 2023		 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

200 N Nelson Dr
Fountain Inn, SC 29644
Phone (864) 522-6270

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

Interoperability endpoints

  • Direct secure messaging: mdouge288919@direct.ghs.myhfn.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 83224 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

200 N Nelson Dr
Fountain Inn, SC 29644-9021

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-7882

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2023.

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1851913610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N NELSON DR",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449021",
            "telephone_number": "864-522-6270",
            "fax_number": "864-522-6275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-7882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGE",
        "first_name": "MELISSA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "83224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Inn, SC

Sources for this page

Verify at the official NPI Registry.