Individual provider Active NPI

Kathryn Renee McZeke, FNP

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1043663750
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20356 Issued in SC
Practice address
920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182
Phone
(843) 449-2336
Fax
(843) 692-2174
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20356 SC Primary

Addresses

Primary practice location

920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182

Mailing address

920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182
Phone (843) 449-2336

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KATHRYN.MCZEKE@hca5.eclinicaldirectplus.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005002271 SC Practitioner - Nurse Practitioner 6901194042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.55 of 100Reported as group
Quality
73.67
Promoting interoperability
99
Improvement activities
40
Cost
78.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20356SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Strand Specialty Associates, LLC CurrentSince Sep 1, 2016 Accepting new patients
Grand Strand Surgical Specialists, LLC PastSince Mar 1, 2020 Accepting new patients

Locations

920 Doug White Dr
Ste 460
Myrtle Beach, SC 29572
Phone (843) 449-2336

849 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 449-2336

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: kathryn.mczeke@hca5.eclinicaldirectplus.com
  • Direct secure messaging: kathryn.hamilton@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1043663750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 460",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724182",
            "telephone_number": "843-449-2336",
            "fax_number": "843-692-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 460",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724182",
            "telephone_number": "843-449-2336",
            "fax_number": "843-692-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCZEKE",
        "first_name": "KATHRYN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2022-01-27",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KATHRYN.MCZEKE@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "920 Doug White Dr Ste 460",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295724182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.