Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tanya Fuller-Pellin, FNP

Individual provider Family Nurse Practitioner · NPI 1639544240

Tanya Fuller-Pellin, FNP is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2015, 11 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

255 Enterprise Blvd Ste 101
Greenville, SC 29615-3530
Phone: (864) 454-8120
Fax: (864) 454-8125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 220 Keowee Trl, Clemson, SC 29631-1448 — (864) 653-4071

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 19819 (SC)

Record details

NPI number1639544240
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 8, 2015
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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