MRS. MELISSA MICHELLE BLACKMON (NPI# 1477816668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477816668 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA MICHELLE BLACKMON |
| Credential | NP-C |
| Practice Address |
222 E Medical Ln Ste 100&200 West Columbia SC 29169-4847 |
| Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
| Practice Telephone | 8039358410 |
| Practice Fax Number | 8039367816 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 17870 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356569701 | Melissa L Blackmon | Occupational Therapist | 108 Executive Park Ln, Selma, AL 36701-7734 | 2007-04-23 |
| Street Address |
222 E MEDICAL LN STE 100&200 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538141973 | Andrew John Palmer | Physician Assistant | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2005-11-18 |
| 1376141481 | Lexington Health Inc | Physical Medicine & Rehabilitation | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2020-10-12 |
| 1720621113 | Joseph Ryan Sturkie | Physician Assistant | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2019-10-18 |
| 1336663301 | Anne Marie Ashley | Physical Therapist | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2017-08-01 |
| 1396296604 | Rebekah Leigh O'dell | Physician Assistant | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2016-10-21 |
| 1346794732 | Gary Alan Benda Jr. | Physician Assistant | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2016-08-15 |
| 1851773147 | Hilary M Jackson | Registered Nurse | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2015-06-23 |
| 1790116028 | Megan Boykin Tolar | Nurse Practitioner | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2013-12-12 |
| 1003255548 | Nathan Chadwick Davis | Neurological Surgery | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2013-06-18 |
| 1982830568 | Christopher Carlton Hooks | Physician Assistant | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2009-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376675108 | Theresa B Prince | Nurse Practitioner | 111 Medical Ln E, West Columbia, SC 29169-4813 | 2007-03-09 |
| 1568572139 | Janice H Morrow | Nurse Practitioner | 524 Charity Ln, West Columbia, SC 29170-1043 | 2006-08-30 |
| 1598729709 | Peggy S Collins | Nurse Practitioner | 2705 Leaphard Road, Agape Senior Primary Care, Inc., Dba Agape Physicians C, West Columbia, SC 29169 | 2006-04-14 |
| 1538779178 | Kerrera Charnay Tindal | Nurse Practitioner | 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2020-08-07 |
| 1831718550 | Brittany Liles Howard | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2020-04-13 |
| 1043845571 | Amy C Romine | Nurse Practitioner | 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | 2020-03-04 |
| 1952934473 | Katrina Denise Middleton | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2020-02-13 |
| 1700418688 | Casey Lynn Spencer | Nurse Practitioner | 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2020-02-07 |
| 1215569462 | Calvin Drew Beckwith | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2020-02-05 |
| 1376181495 | Lance Garris | Nurse Practitioner | 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2019-12-19 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.