MELODIE GRAHAM HANKS (NPI# 1043752579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043752579 |
| Entity Type | Individual |
| Full Name | MELODIE GRAHAM HANKS |
| Credential | NP |
| Practice Address |
220 Faison Dr Columbia SC 29203-3210 |
| Mailing Address |
570 Silverbell Ct Lexington SC 29073-6748 |
| Practice Telephone | 8039355761 |
| Mailing Telephone | 8645809364 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 107384 | SC | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20670 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | SC98096121 | 01 |
| SC | NP4313 | 05 | |
| SC | MEDICARE PIN | SC98096067 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3611 Pelham Rd, Greenville, SC 296155002 | 8645303500 | 8645603525 |
| Street Address |
220 FAISON DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609825264 | South Carolina Dept of Mental Health Accounting Office | Psychiatric Hospital | 220 Faison Dr, Columbia, SC 29203-3210 | 2006-05-09 |
| 1538522560 | Kendrick Maurice James | Nurse Practitioner | 220 Faison Dr, Columbia, SC 29203-3210 | 2016-03-29 |
| 1720406358 | Daniel Clayton Long | Counselor | 220 Faison Dr, Columbia, SC 29203-3210 | 2014-04-01 |
| 1750535530 | Margaret Sexton Johnson | Nurse Practitioner | 220 Faison Dr, Bryan Psychiatric Hospital, Columbia, SC 29203-3210 | 2008-11-06 |
| 1447409735 | Elizabeth Lynne Baker | Psychiatry & Neurology | 220 Faison Dr, William S. Hall Institute, Columbia, SC 29203-3210 | 2008-09-11 |
| 1578694147 | Kimberly B Rudd | Psychiatry & Neurology | 220 Faison Dr, Columbia, SC 29203-3210 | 2007-03-08 |
| 1578603338 | Wendy Wang | Psychiatry & Neurology | 220 Faison Dr, Columbia, SC 29203-3210 | 2007-02-08 |
| 1356487607 | South Carolina Dept of Mental Health Accounting Office | Psychiatric Hospital | 220 Faison Dr, Columbia, SC 29203-3210 | 2007-01-30 |
| 1972655173 | Jeanne A. Wright | Psychologist | 220 Faison Dr, Columbia, SC 29203-3210 | 2007-01-17 |
| 1841342086 | Rhonwyn Carson-moore | Psychologist | 220 Faison Dr, Columbia, SC 29203-3210 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1316544315 | Rezvaneh Goodarzi | Nurse Practitioner | 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 | 2020-10-03 |
| 1316559255 | Lauren Olivia Lenauer | Nurse Practitioner | 1600 E Broadway # 300, Columbia, MO 65201-5844 | 2020-08-21 |
| 1285246272 | Lourdes Claire De Las Alas | Nurse Practitioner | 6005 Shepherd Sq, Columbia, MD 21044-3114 | 2020-08-20 |
| 1619587540 | Josey Abraham | Nurse Practitioner | 305 Aiken Hunt Cir, Columbia, SC 29223-8407 | 2020-08-05 |
| 1588274765 | Tomeka Nichole Jackson | Nurse Practitioner | 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 | 2020-08-03 |
| 1528696762 | Mark Edward Merkel | Nurse Practitioner | 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 | 2020-04-01 |
| 1306489265 | Andrew Leitch | Nurse Practitioner | 313 N Trenholm Rd, Columbia, SC 29206-3207 | 2019-10-23 |
| 1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
| Find all providers in COLUMBIA | ||||
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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.