Alyssa C McClelland, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3032 Issued in SC

Practice address

40 Okatie Center Blvd S
Suite 350
Okatie, SC 29909-7507

Phone

(843) 705-3800

Fax

(843) 705-3840

NPI assigned

Oct 18, 2006

Last updated

Sep 16, 2013By the provider in NPPES

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

Other identifiers 2

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beaufort Medical Imaging Inc

  • Diagnostic Radiology Physician
  • Beaufort, SC
  • NPI 1881617843
  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  SC

  Medicare reassignment
• Senior Health Associates, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Beaufort, SC
  • NPI 1023155728
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1912088634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 2ND LOOP RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016123",
            "telephone_number": "843-678-9777",
            "fax_number": "843-665-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S",
            "address_2": "SUITE 350",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097507",
            "telephone_number": "843-705-3800",
            "fax_number": "843-705-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "ALYSSA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1082",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3032",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christinea Marino, AGPCNP-BC
• Kyle Scott Marlow
• Arlene Martin, DDS
• Robyn May
• Madison McCabe, MS
• Kaitlyn Nicole McGonagle
• Elizabeth Norman McKeown, MD
• Lorraine M McRae, MD
• Joseph B McShea, DO
• Edward Leonard Meyerink III

• Family Nurse Practitioner in Okatie, SC
• Providers in Okatie, 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 Sep 16, 2013; 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.