Individual provider Active NPI

Mellada Jacobs, APRN

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1871390898
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29948 Issued in SC
Practice address
131 Harbison Blvd Ste a
Columbia, SC 29212-2226
Phone
(803) 485-1400
Fax
(803) 485-1405
NPI assigned
Feb 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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 29948 SC Primary

Addresses

Primary practice location

131 Harbison Blvd Ste a
Columbia, SC 29212-2226

Mailing address

407 Clearview Dr
Columbia, SC 29212-8355
Phone (803) 239-7480

Other practice location 1

2010 W Dekalb St
Camden, SC 29020-2058
Phone (803) 272-0500

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
I20250811000410 SC Practitioner - Nurse Practitioner 1557869435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians
Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians

Practice addresses (Care Compare)

131 Harbison Blvd
Suite a
Columbia, SC 29212-2226
Phone (803) 485-1400

2010 W Dekalb St
Camden, SC 29020-2058
Phone (843) 322-1933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Jan 1, 2026 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince May 29, 2025 Accepting new patients

Locations

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

2010 W DeKalb St
Camden, SC 29020
Phone (803) 272-0500

131 Harbison Blvd
Ste A
Columbia, SC 29212
Phone (803) 485-1400

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1871390898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CLEARVIEW DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128355",
            "telephone_number": "803-239-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HARBISON BLVD STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122226",
            "telephone_number": "803-485-1400",
            "fax_number": "803-485-1405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 W Dekalb St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290202058",
            "country_code": "US",
            "telephone_number": "803-272-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MELLADA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.