Mrs Shatarra Tavonia Salley, APRN, FNP-C, PMHNP in Greer, SC

Mrs Shatarra Tavonia Salley, APRN, FNP-C, PMHNP is a medicare enrolled "Nurse Practitioner - Family" in Greer, South Carolina. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novant Health Urgent Cares Llc and her current practice location is 13455 E Wade Hampton Blvd Ste 17, Greer, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 551-2384.

Mrs Shatarra Tavonia Salley is licensed to practice in South Carolina (license number 24906) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639795859.

Contact Information

	Mrs Shatarra Tavonia Salley, APRN, FNP-C, PMHNP
	13455 E Wade Hampton Blvd Ste 17, Greer, SC 29651-6276
	(864) 551-2384
	(864) 499-2697

Map and Direction

Provider's Profile

Full Name	Mrs Shatarra Tavonia Salley
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	13455 E Wade Hampton Blvd Ste 17, Greer, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shatarra Tavonia Salley graduated from nursing school in 2023

NPI Data:

NPI Number: 1639795859
Provider Enumeration Date: 06/23/2020
Last Update Date: 05/30/2025

Medicare PECOS Information:

PECOS PAC ID: 8921485467
Enrollment ID: I20220523000080

Medical Identifiers

Medical identifiers for Mrs Shatarra Tavonia Salley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639795859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	24906 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	24906 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Health Urgent Cares Llc	8628502598	173

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shatarra Tavonia Salley allows following entities to bill medicare on her behalf.

Entity Name	Itrust Wellness Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629517222 PECOS PAC ID: 0648532028 Enrollment ID: O20180322002663

Entity Name	Novant Health Urgent Cares Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841026382 PECOS PAC ID: 8628502598 Enrollment ID: O20241114002376

Entity Name	Self Inspired Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326846254 PECOS PAC ID: 2769906726 Enrollment ID: O20250411000577

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shatarra Tavonia Salley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Shatarra Tavonia Salley, APRN, FNP-C, PMHNP Po Box 749306, Atlanta, GA 30374-9306 Ph: (864) 968-9144	Mrs Shatarra Tavonia Salley, APRN, FNP-C, PMHNP 13455 E Wade Hampton Blvd Ste 17, Greer, SC 29651-6276 Ph: (864) 551-2384

Reviews and Comments

Nurse Practitioner Nurses in Greer, SC

Christen Regenia Askew, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2755 S Highway 14 Ste 2200, Greer, SC 29650 Phone: 864-849-9555 Fax: 864-849-9556
Hali Hodgin Neely, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3093 Sc-14, Suite 101, Greer, SC 29650 Phone: 864-720-1900
Bryanna Mauk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Memorial Dr, Greer, SC 29650 Phone: 864-848-7005
Mrs. Kristin Nicole Tolley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3308 Brushy Creek Rd, Greer, SC 29650 Phone: 864-752-2000
Cami Lynn Niskanen, NP STUDENT Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2225 River Rd, Greer, SC 29650 Phone: 864-423-0686
Dr. Wanda Sexton Samake, DNP, PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 John St Unit 5b, Greer, SC 29651 Phone: 864-990-5664 Fax: 864-990-5674
Heather Ann Traynham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2755 S Highway 14 Ste 2200, Greer, SC 29650 Phone: 864-849-9555 Fax: 864-849-9556

Mrs Shatarra Tavonia Salley, APRN, FNP-C, PMHNP - Medicare Nurse Practitioner in Greer, SC