Melva Gibeau, NP AND CNS

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

APN 1620 Issued in SC

Practice address

701 Cashua Ferry Rd
Darlington, SC 29532-8488

Phone

(843) 777-4217

Fax

(843) 777-4296

NPI assigned

Feb 10, 2006

Last updated

Mar 26, 2009By 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 2

Addresses

Other identifiers 1

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

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

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.

• McLeod Regional Medical Center of the Pee Dee, Inc

  dba McLeod Chronic Care Management

  • Chronic Care Clinical Nurse Specialist
  • Florence, SC
  • NPI 1427004738
  NPD (past)
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba McLeod Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Florence, SC
  • NPI 1871775841
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1922071810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-4217",
            "fax_number": "843-777-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CASHUA FERRY RD",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295328488",
            "telephone_number": "843-777-4217",
            "fax_number": "843-777-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBEAU",
        "first_name": "MELVA",
        "credential": "NP AND CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "APN 1620",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "SC",
            "license": "APN 1620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0628",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis Healthcare, Inc. (Mobile Health Clinic #2)
• Genesis Healthcare, Inc. (Pee Dee Health Care)
• Genesis Healthcare, Inc. (Genesis Healthcare Darlington)
• Genesis Healthcare, Inc. (Pee Dee Health Care)
• Gentle Care Adult Day Health Services
• Cheryl Lynn Gillispie
• Nancy Ann Gordon, PTA
• Amy Elizabeth Grant, COTA/L
• Kathleen Gray
• Cathy M Gregory, APRN

• Psychiatric/Mental Health Clinical Nurse Specialist in Darlington, SC
• Providers in Darlington, SC by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.