Meredith Wilkerson Macneill

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

218086 Issued in LA

Practice address

312 Harrison Bridge Rd
Simpsonville, SC 29680-7133

Phone

(864) 603-5600

NPI assigned

Apr 12, 2021

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Musc Affiliate Physicians

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1700465648
  Medicare reassignment NPD
• Musc Affiliate Physicians

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1548849482
  NPD

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1871173047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 HARRISON BRIDGE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HARRISON BRIDGE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807133",
            "telephone_number": "864-603-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNEILL",
        "first_name": "MEREDITH",
        "middle_name": "WILKERSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Lyons Jr., PHARM.D.
• M Ken Hedrick PC
• M6 Enterprises Inc
• Shadrica Nicole Mack, BCA
• Katherine Madison Macmillan, M.D.
• Emily Mages
• Annisa Simone Mahaffey
• Elizabeth Lauren Maier
• Brooke Nicole Makowski, PHARMD
• Jason Phillip Makowski

• Family Nurse Practitioner in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.

Verify at the official NPI Registry.