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MRS. MARY LEE ADDIS APN
NPI 1780604579
Nurse Practitioner - Family in Camden, SC

Active since July 21, 2006
1111 MILL ST, CAMDEN, SC 29020(803) 425-1330(803) 425-0324 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mary Lee Addis Apn NPPES

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

MRS. MARY LEE ADDIS APN (NPI 1780604579) is an individual family provider in Camden, South Carolina, licensed in South Carolina (APN 138) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1780604579
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY LEE ADDISCredential: APN
Location Address1111 MILL STCamden, SC 29020-3763
Mailing AddressPo Box 7003Camden, SC 29021-7003 · (803) 425-1330
Phone(803) 425-1330
Fax(803) 425-0324
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateMarch 20, 2015
✔ NPI 1780604579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · APN 138
1111 MILL ST, Camden, SC 29020
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Other Identifiers 1

Medicare UPINS00860SC

Other Providers at the Same Location NPPES 2

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

KERSHAWHEALTH
Family Medicine
1111 MILL ST
CAMDEN, SC 29020
Kershaw County (803) 432-4311
ROY E. SMITH, M.D.
Family Medicine
1111 MILL ST
CAMDEN, SC 29020
Kershaw County (803) 425-1330

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 Mary Addis's NPI number?

The NPI number for Mary Addis is 1780604579. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Mary Addis located?

Mary Addis practices at 1111 Mill St, Camden, SC 29020. The listed phone number is (803) 425-1330.

What is Mary Addis's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Addis was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.