Megan Elizabeth Clossman

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

22824 Issued in SC

Practice address

1189 Tibwin Rd
MC Clellanville, SC 29458-9405

Phone

(843) 887-3274

NPI assigned

Jul 25, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: megan.clossman.1@13163.direct.athenahealth.com

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.

• Es Pediatric Partners LLC

  • Pediatrics Physician
  • Georgetown, SC
  • NPI 1275993420
  NPD (past)

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1922652155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 TIBWIN RD",
            "city": "MC CLELLANVILLE",
            "state": "SC",
            "postal_code": "294589405",
            "telephone_number": "843-887-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 TIBWIN RD",
            "city": "MC CLELLANVILLE",
            "state": "SC",
            "postal_code": "294589405",
            "telephone_number": "843-887-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSSMAN",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "22824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Bowles
• Mary E English, PT
• Mark Erich, M.D.
• Deborah Ann Fraser, LPC
• Christine Stevens Jackson
• Windsor Florence Lynch, RDN, LD

• All providers in MC Clellanville, SC
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.