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TALICIA DURHAM NP
NPI 1174476022
Nurse Practitioner in Daniel Island, SC

Active since February 19, 2026PECOS EnrolledAccepts Medicare Assignment
115 FAIRCHILD ST STE 340, DANIEL ISLAND, SC 29492(888) 562-5442 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Talicia Durham Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TALICIA DURHAM NP (NPI 1174476022) is an individual nurse practitioner in Daniel Island, South Carolina, licensed in South Carolina (31334) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174476022
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTALICIA DURHAMCredential: NP
Location Address115 FAIRCHILD ST STE 340Daniel Island, SC 29492-7602
Mailing Address200 Oceangate Ste 100Long Beach, CA 90802-4317 · (888) 562-5442
Phone(888) 562-5442
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1174476022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 31334
Definition
(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.
115 FAIRCHILD ST STE 340, Daniel Island, SC 29492
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Talicia Durham Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820579774
PECOS Enrollment IDI20260227002646
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29492 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.
Health Maintenance Organization
115 FAIRCHILD ST STE 340
DANIEL ISLAND, SC 29492
Berkeley County (843) 680-1943

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Talicia Durham's NPI number?

The NPI number for Talicia Durham is 1174476022. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Talicia Durham located?

Talicia Durham practices at 115 Fairchild St Ste 340, Daniel Island, SC 29492. The listed phone number is (888) 562-5442.

What is Talicia Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Talicia Durham enrolled in Medicare?

Yes. Talicia Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Talicia Durham was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.