Individual provider Active NPI

Melanie Sue Valvo, P.A.

  • Physician Assistant
  • Summerville, SC
National Provider Identifier
1922257377
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1334 Issued in SC
Practice address
1595 Central Ave
Summerville, SC 29483-5529
Phone
(843) 212-8080
Fax
(843) 789-1521
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1334 SC Primary

Addresses

Primary practice location

1595 Central Ave
Summerville, SC 29483-5529

Mailing address

PO Box 13955
Charleston, SC 29422-3955
Phone (843) 225-8304

Other identifiers 3

IdentifierTypeStateIssuer
P00914048OtherSCRR MEDICARE
GP1551OtherSCMEDICAID GROUP
0692PAMedicaidSC

Other names 1

  • Melanie Sue Schiessl Former name

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
I20090102000001 SC Practitioner - Physician Assistant 2567524465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Behavioral Health Solutions, LLCGroup PAC ID 4688674807, 2 clinicians

Practice addresses (Care Compare)

2777 Speissegger Dr
Charleston, SC 29405-8229
Phone (843) 266-7080

2777 Speissegger Dr
Charleston, SC 29405-8235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1334SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Doctors LLC CurrentSince Jul 1, 2020 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 17, 2016 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 17, 2016 Accepting new patients
Liberty Doctors, LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

1595 Central Ave
Summerville, SC 29483
Phone (843) 212-8080

Organizations & group practices 6

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1922257377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13955",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294223955",
            "telephone_number": "843-225-8304",
            "fax_number": "843-225-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 CENTRAL AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294835529",
            "telephone_number": "843-212-8080",
            "fax_number": "843-789-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALVO",
        "first_name": "MELANIE",
        "middle_name": "SUE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00914048",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "GP1551",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0692PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "SCHIESSL",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.