Mary Alice Lollis, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

17911 Issued in SC

Practice address

100 Gavotte LN
Anderson, SC 29621-8205

Phone

(864) 261-7474

Fax

(864) 261-8580

NPI assigned

Jun 11, 2012

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 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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anmed Health Hospital, Anderson, SC, CCN 420027

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alollis19720@direct.anmedhealth.net

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.

• Anmed Health

  • Family Medicine Physician
  • Clemson, SC
  • NPI 1427005727
  Medicare reassignment NPD
• Anmed Health

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1639102270
  Medicare reassignment NPD
• Anmed Health

  • Emergency Medicine Physician
  • Anderson, SC
  • NPI 1710918321

  Nurse Practitioner

  Medicare reassignment NPD
• Anmed Health

  • Family Medicine Physician
  • Piedmont, SC
  • NPI 1255137832
  NPD
• Anmed Health

  • Family Medicine Physician
  • Clemson, SC
  • NPI 1851701866
  NPD
• Anmed Health

  • Clinical Cardiac Electrophysiology Physician
  • Anderson, SC
  • NPI 1922384270
  NPD
• Diagnostic Radiology of Anderson, P.a.

  • Diagnostic Radiology Physician
  • Anderson, SC
  • NPI 1922125269
  NPD
• Anmed Health

  • Gastroenterology Physician
  • Anderson, SC
  • NPI 1861761090
  NPD (past)

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

• Anmed Health

  • General Acute Care Hospital
  • Anderson, SC
  • NPI 1417919531
  Care Compare affiliation

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1922360593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GAVOTTE LN",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296218205",
            "telephone_number": "864-261-7474",
            "fax_number": "864-261-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GAVOTTE LN",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296218205",
            "telephone_number": "864-261-7474",
            "fax_number": "864-261-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLIS",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "17911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2056",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keisha Denise Lockhart, DNP APRN CNM
• Carol Loescher, MD
• Carolyn Grace Loescher
• Mary Catherine Loftus, FNP-C
• Lindsay Wilson Lollis, FNP-C
• Shelly Elizabeth Lomax, O.D.
• Carl Trinidad Lomboy, M.D.
• Brooke Long, FNP
• Sarah Browne Long, APRN
• Longevity Clinical LTC Associates of South Carolina, PC

• Nurse Practitioner in Anderson, SC
• Providers in Anderson, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.

Verify at the official NPI Registry.