Active NPI
Mary Taylor Britt Jackson, FNP
- Family Nurse Practitioner
- Myrtle Beach, SC
National Provider Identifier
1003429259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24213
- Practice address
- 8121 Rourk St
Myrtle Beach, SC 29572-4128 - Phone
- (843) 692-5000
- Fax
- (843) 692-5010
- NPI assigned
- Aug 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 24213 | SC | Primary |
Addresses
Primary practice location
8121 Rourk St
Myrtle Beach, SC 29572-4128
Mailing address
8121 Rourk St
Myrtle Beach, SC 29572-4128
Phone (843) 692-5000
Other practice location 1
817 Farrar Dr
Conway, SC 29526-8747
Phone (843) 234-1660
Other practice location 2
4620 Highway 17
Murrells Inlet, SC 29576-5016
Phone (843) 357-7357
Other practice location 3
3008 Bayboro St
Loris, SC 29569-2714
Phone (843) 756-0932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24213 | Other | SC | NURSE PRACTITIONER STATE LICENSE |
Other names 1
- Mary Taylor Britt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8121 Rourk St
Myrtle Beach, SC 29572-4128
Phone (843) 692-5000
Hospital & facility affiliations
- Grand Strand Regional Medical Center
- Conway Medical Center
- McLeod Loris Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.12 of 100
- Promoting interoperability
- 91
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24213 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Cancer Center LLC | Current | Accepting new patients | |
| Coastal Cancer Center LLC | Current | Accepting new patients | |
| Coastal Cancer Center LLC | Past | Accepting new patients |
Locations
817 Farrar Dr
Conway, SC 29526
Phone (843) 234-1660
3008 Bayboro St
Loris, SC 29569
Phone (843) 756-0932
4620 Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-7357
8121 Rourk St
Myrtle Beach, SC 29572
Phone (843) 692-5000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Myrtle Beach, SC
- NPI 1881614170
-
- Community/Retail Pharmacy
- Myrtle Beach, SC
- NPI 1447756762
-
- Hematology & Oncology Physician
- Conway, SC
- NPI 1063432391
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1003429259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8121 ROURK ST",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724128",
"telephone_number": "843-692-5000",
"fax_number": "843-692-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8121 ROURK ST",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724128",
"telephone_number": "843-692-5000",
"fax_number": "843-692-5010"
}
],
"practiceLocations": [
{
"address_1": "817 Farrar Dr",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295268747",
"country_code": "US",
"telephone_number": "843-234-1660",
"fax_number": "843-234-1661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4620 Highway 17",
"address_purpose": "LOCATION",
"city": "Murrells Inlet",
"state": "SC",
"postal_code": "295765016",
"country_code": "US",
"telephone_number": "843-357-7357",
"fax_number": "843-357-7358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3008 Bayboro St",
"address_purpose": "LOCATION",
"city": "Loris",
"state": "SC",
"postal_code": "295692714",
"country_code": "US",
"telephone_number": "843-756-0932",
"fax_number": "843-756-0508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "MARY",
"middle_name": "TAYLOR BRITT",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-27",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "24213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER STATE LICENSE",
"identifier": "24213",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "BRITT",
"middle_name": "TAYLOR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.