NPIMap

Individual provider Active NPI

Ulyesse C Everall III, N.P.

  • Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1952742942
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN18357 Issued in SC
Practice address
1317 Ebenezer Rd
Agape Physicians Care
Rock Hill, SC 29732-2336
Phone
(803) 207-8200
Fax
(803) 207-8130
NPI assigned
Jul 8, 2013
Last updated
Sep 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN18357 SC Primary

Addresses

Primary practice location

1317 Ebenezer Rd
Agape Physicians Care
Rock Hill, SC 29732-2336

Mailing address

1624 Main Street Agape Senior Primary Care, Inc.,
Dba Agape Physicians Care
Columbia, SC 29201
Phone (803) 454-0365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320001199 SC Practitioner - Nurse Practitioner 5698906436 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

308 Chester Ave
Great Falls, SC 29055-1104
Phone (803) 482-2129

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18357SCMDSocial Worker
APRN18357SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University Hospital Authority CurrentSince Jun 20, 2024 Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Medical University Hospital Authority Current Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
App of South Carolina Ed PLLC CurrentSince Nov 1, 2017 Accepting new patients
Medical University Hospital Authority CurrentSince Jun 20, 2024 Accepting new patients
Musc Community Physicians Current Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

308 Chester Ave
Great Falls, SC 29055
Phone (803) 482-2129

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

6277 Carolina Commons Dr
Indian Land, SC 29707
Phone (803) 396-0245

201 W Meeting St
Ste A
Lancaster, SC 29720
Phone (803) 286-4666

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

Interoperability endpoints

  • Direct secure messaging: ueverall254664@direct.musc.edu

Organizations & group practices 11

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.

Hospital & facility affiliations 10

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1952742942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 MAIN STREET AGAPE SENIOR PRIMARY CARE, INC.,",
            "address_2": "DBA AGAPE PHYSICIANS CARE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-454-0365",
            "fax_number": "803-404-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 EBENEZER RD",
            "address_2": "AGAPE PHYSICIANS CARE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322336",
            "telephone_number": "803-207-8200",
            "fax_number": "803-207-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERALL",
        "first_name": "ULYESSE",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APRN18357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.