Individual provider Active NPI

Mary Elizabeth Creed, APRN, FNP-C

  • Family Nurse Practitioner
  • Hollywood, SC
National Provider Identifier
1942775366
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22310 Issued in SC
Practice address
5225 Highway 165
Hollywood, SC 29449-6144
Phone
(843) 670-5474
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22310 SC Primary

Addresses

Primary practice location

5225 Highway 165
Hollywood, SC 29449-6144

Mailing address

5225 Highway 165
Hollywood, SC 29449-6144
Phone (843) 670-5474

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
I20190314000864 SC Practitioner - Nurse Practitioner 9830439678 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fetter Health Care Network IncGroup PAC ID 9032215199, shared by 15 NPIs, 26 clinicians

Practice addresses (Care Compare)

51 Nassau St
Charleston, SC 29403-5513
Phone (843) 722-4112

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22310SCMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 17, 2019 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Fetter Health Care Network, Inc CurrentSince Feb 5, 2024 Accepting new patients
Fetter Health Care Network, Inc. Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 17, 2019 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Feb 5, 2024 Accepting new patients

Locations

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

2097 Henry Tecklenburg Dr
Ste 220W
Charleston, SC 29414
Phone (843) 571-6868

51 Nassau St
Charleston, SC 29403

5225 Highway 165
Hollywood, SC 29449
Phone (843) 670-5474

106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995

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

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600

302 Medical Park Dr
Ste 111
Walterboro, SC 29488
Phone (843) 549-6853

302 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-6853

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1942775366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 HIGHWAY 165",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "294496144",
            "telephone_number": "843-670-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 HIGHWAY 165",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "294496144",
            "telephone_number": "843-670-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREED",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, SC

Sources for this page

Verify at the official NPI Registry.