Active NPI
Alisha N. Orage Freeman, APRN
- Nurse Practitioner
- Port Royal, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 19211
- Practice address
- 1510 Ribaut Rd
Port Royal, SC 29935-1403 - Phone
- (843) 770-0676
- NPI assigned
- Dec 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN-TP 19211 | SC | |
| Nurse Practitioner | 363L00000X | 19211 | SC | Primary |
Addresses
Primary practice location
1510 Ribaut Rd
Port Royal, SC 29935-1403
Mailing address
PO Box 749306
Atlanta, GA 30374-9306
Other practice location 1
721 N Okatie Hwy # 170
Ridgeland, SC 29936-8276
Phone (843) 987-7400
Other practice location 2
Agape Senior Primary Care Inc dba SC House Calls
11 Todd Drive
Beaufort, SC 29902-6113
Phone (800) 491-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3083 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 Ribaut Rd
Port Royal, SC 29935-1403
Phone (843) 770-0676
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19211 | SC | MD | Nurse Practitioner |
| APN-TP 19211 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Urgent Cares LLC | Current | Accepting new patients |
Locations
6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484
100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055
1510 Ribaut Rd
Port Royal, SC 29935
Phone (843) 524-3241
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1841026382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1891193371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749306",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 RIBAUT RD",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299351403",
"telephone_number": "843-770-0676"
}
],
"practiceLocations": [
{
"address_1": "721 N Okatie Hwy # 170",
"address_purpose": "LOCATION",
"city": "Ridgeland",
"state": "SC",
"postal_code": "299368276",
"country_code": "US",
"telephone_number": "843-987-7400",
"fax_number": "843-987-7484",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Agape Senior Primary Care Inc dba SC House Calls",
"address_2": "11 Todd Drive",
"address_purpose": "LOCATION",
"city": "Beaufort",
"state": "SC",
"postal_code": "299026113",
"country_code": "US",
"telephone_number": "800-491-0909",
"fax_number": "843-353-2581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORAGE FREEMAN",
"first_name": "ALISHA",
"middle_name": "N.",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-15",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN-TP 19211",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "19211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3083",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Royal, SC
- Mental Wellness Center of the Lowcountry, LLC
- Melissa Rose Mesenburg, DNP, APRN, FNP-C
- Eric Walters Nelson, DABR, PHD
- Novant Health Physical Therapy LLC
- William Esdorn Oquinn Jr., MD
- Origin Pelvic Health and Occupational Therapy LLC
- Adrienne Leigh Osborn, LMT, CLT
- Jennifer Rae Parton, MSP, CCC-SLP
- Kylie Ann Pearson, AUD
- Peipei Yu, DMD, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.