Active NPI
Ava Catherine Meyer
- Psychiatric/Mental Health Nurse Practitioner
- Myrtle Beach, SC
National Provider Identifier
1033093117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 30790
- Practice address
- 1086 London St Ste B
Myrtle Beach, SC 29577-5761 - Phone
- (843) 703-1027
- Fax
- (843) 627-4617
- NPI assigned
- Aug 2, 2025
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 30790 | SC | Primary |
Addresses
Primary practice location
1086 London St Ste B
Myrtle Beach, SC 29577-5761
Mailing address
1086 London St Ste B
Myrtle Beach, SC 29577-5761
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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 Main St
Conway, SC 29526-3634
Phone (843) 703-1029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radial Health Florida, P.a. | Current | Accepting new patients |
Locations
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
1301 Main St
Conway, SC 29526
Phone (843) 703-1027
1086 London St
Ste B
Myrtle Beach, SC 29577
Phone (843) 703-1027
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1033093117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 LONDON ST STE B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775761",
"fax_number": "843-627-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 LONDON ST STE B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775761",
"telephone_number": "843-703-1027",
"fax_number": "843-627-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "AVA",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-02",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "30790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 30, 2025; 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.