Healthcare Provider Details

I. General information

NPI: 1659256857
Provider Name (Legal Business Name): SHAYLEECE EDWARDS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAYLEECE GRAHAM-HARGROVE NP

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SC HOUSE CALLS, INC. 111 DOCTORS CIR.
COLUMBIA SC
29203
US

IV. Provider business mailing address

SC HOUSE CALLS, INC. 111 DOCTORS CIR.
COLUMBIA SC
29203
US

V. Phone/Fax

Practice location:
  • Phone: 800-491-0909
  • Fax:
Mailing address:
  • Phone: 800-491-0909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN295523
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: