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MRS. SHATARRA TAVONIA SALLEY APRN, FNP-C, PMHNP
NPI 1639795859
Nurse Practitioner - Family in Greer, SC

Active since June 23, 2020PECOS Enrolled
13455 E WADE HAMPTON BLVD STE 17, GREER, SC 29651(864) 551-2384(864) 499-2697 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 30, 2025, Mar 6, 2025, Feb 7, 2024 and 2 more (5 updates tracked since 2020).

About Mrs. Shatarra Tavonia Salley Aprn, Fnp-c, Pmhnp NPPES

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

MRS. SHATARRA TAVONIA SALLEY APRN, FNP-C, PMHNP (NPI 1639795859) is an individual family provider in Greer, South Carolina, licensed in South Carolina (24906) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639795859
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHATARRA TAVONIA SALLEYCredential: APRN, FNP-C, PMHNP
Location Address13455 E WADE HAMPTON BLVD STE 17Greer, SC 29651-6276
Mailing AddressPo Box 749306Atlanta, GA 30374-9306 · (864) 968-9144 · Fax (864) 968-9244
Phone(864) 551-2384
Fax(864) 499-2697
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 23, 2020
Last NPPES UpdateMay 30, 20255 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1639795859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 24906
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 24906 (SC)
13455 E WADE HAMPTON BLVD STE 17, Greer, SC 29651
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12400 Boiling Springs RdBoiling Springs, SC 29316-5304 · Phone (864) 599-0731 · Fax (864) 599-0791
Location 2115 Southport RdSpartanburg, SC 29306-3813 · Phone (864) 520-2020 · Fax (864) 640-4400
Location 31762 E Main StSpartanburg, SC 29307-2231 · Phone (864) 968-9144

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shatarra Tavonia Salley Aprn, Fnp-c, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921485467
PECOS Enrollment IDI20220523000080
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shatarra Salley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Self Inspired Solutions LLC
Same address
Psychiatric/Mental Health
13455 E WADE HAMPTON BLVD STE 17
Greer, SC 29651
  • Reassigned Medicare billing, South Carolina enrollment
NPI 1326846254 (864) 551-2384
Novant Health Urgent Cares LLC
37 mi
Urgent Care
2126 HIGHWAY 81 N
Anderson, SC 29621
  • Reassigned Medicare billing, South Carolina enrollment
  • 133 clinicians in this Medicare group
NPI 1841026382 (999) 999-9999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29651 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.

SELF INSPIRED SOLUTIONS LLC
Nurse Practitioner (Psychiatric/Mental Health)
13455 E WADE HAMPTON BLVD STE 17
GREER, SC 29651
Greenville County (864) 551-2384

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 Shatarra Salley's NPI number?

The NPI number for Shatarra Salley is 1639795859. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Shatarra Salley located?

Shatarra Salley practices at 13455 E Wade Hampton Blvd Ste 17, Greer, SC 29651. The listed phone number is (864) 551-2384.

What is Shatarra Salley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shatarra Salley enrolled in Medicare?

Yes. Shatarra Salley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shatarra Salley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shatarra Salley reassigns Medicare benefits to 2 organizations: Self Inspired Solutions LLC (Greer, SC) and Novant Health Urgent Cares LLC (Anderson, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shatarra Salley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shatarra Salley accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Shatarra Salley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shatarra Salley was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.