Individual provider Active NPI

Angela S. Mearns, FNP

  • Family Nurse Practitioner
  • Jefferson, SC
National Provider Identifier
1871764522
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011885 Issued in NC
Practice address
409 E Church St
Jefferson, SC 29718-8701
Phone
(336) 583-0058
Fax
(843) 658-7780
NPI assigned
Mar 20, 2008
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 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 5011885 NC Primary

Addresses

Primary practice location

409 E Church St
Jefferson, SC 29718-8701

Mailing address

409 E Church St
Jefferson, SC 29718-8701
Phone (833) 658-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091005000746 SC Practitioner - Nurse Practitioner 0749326742 Reassigns benefits to 6 organizations
I20201111002708 NC Practitioner - Nurse Practitioner 0749326742 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians
DRX High Point PLLCGroup PAC ID 7113061730, 48 clinicians
Sandhills Medical Foundation, Inc.Group PAC ID 8224949821, shared by 10 NPIs, 26 clinicians

Practice addresses (Care Compare)

14001 E Independence Blvd
Suite C
Indian Trail, NC 28079-9658
Phone (704) 247-6598

2305 N Main St
High Point, NC 27262-7830
Phone (336) 884-4050

2611 Liberty Hill Rd
Camden, SC 29020-1871
Phone (803) 432-3447

409 E Church St
Jefferson, SC 29718-8701
Phone (843) 658-3005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Medical Foundation, Inc. CurrentSince Mar 27, 2024 Accepting new patients
DRX High Point, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Nov 27, 2023 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Jun 30, 2020 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Current Accepting new patients
SCRN LLC CurrentSince Jan 25, 2022 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Jun 30, 2020 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
DRX High Point, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Mar 27, 2021 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Mar 27, 2024 Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Mar 27, 2024 Accepting new patients
Sandhills Medical Foundation, Inc. Current Accepting new patients
Sandhills Medical Foundation, Inc. CurrentSince Mar 27, 2024 Accepting new patients
Sandhills Medical Foundation Past Accepting new patients
Sandhills Medical Foundation, Inc. Past Accepting new patients

Locations

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242

1231 Eastchester Dr
High Point, NC 27265
Phone (336) 884-4050

2305 N Main St
High Point, NC 27262
Phone (336) 884-4050

14001 E Independence Blvd
Ste C
Indian Trail, NC 28079
Phone (704) 247-6598

3007 Wesley Chapel Stouts Rd
Ste B
Monroe, NC 28110
Phone (704) 412-3612

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

103 Main St N
Bethune, SC 29009
Phone (843) 334-6551

103 Main St N
Bldg N
Bethune, SC 29009
Phone (843) 334-7145

2611 Liberty Hill Rd
Camden, SC 29020
Phone (803) 432-3447

409 E Church St
Jefferson, SC 29718
Phone (843) 658-3005

205 W Marion St
Kershaw, SC 29067
Phone (803) 475-4701

40 Baldwin Ave
Lugoff, SC 29078
Phone (803) 408-3262

645 S Seventh St
Mc Bee, SC 29101
Phone (803) 475-4701

727 S Seventh St
Mc Bee, SC 29101
Phone (843) 335-8291

126 N Pearl St
Pageland, SC 29728
Phone (843) 675-5004

30 Cuttino Rd
Sumter, SC 29150
Phone (803) 778-2442

1515 Bells Hwy
Walterboro, SC 29488
Phone (843) 522-8223

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1871764522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E CHURCH ST",
            "city": "JEFFERSON",
            "state": "SC",
            "postal_code": "297188701",
            "telephone_number": "833-658-3005",
            "fax_number": "843-658-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E CHURCH ST",
            "city": "JEFFERSON",
            "state": "SC",
            "postal_code": "297188701",
            "telephone_number": "336-583-0058",
            "fax_number": "843-658-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEARNS",
        "first_name": "ANGELA",
        "middle_name": "S.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, SC

Sources for this page

Verify at the official NPI Registry.