Active NPI
Stephen Hanneken, PA-C
- Medical Physician Assistant
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MPA.5574
- Practice address
- 2510 N Kings Hwy
Myrtle Beach, SC 29577-3037 - Phone
- (843) 626-2273
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MPA.5574 | SC | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
2510 N Kings Hwy
Myrtle Beach, SC 29577-3037
Mailing address
2510 N Kings Hwy
Myrtle Beach, SC 29577-3037
Phone (843) 626-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1316 3Rd Ave
Conway, SC 29526-5002
Phone (843) 488-7283
2510 N Kings Hwy
Myrtle Beach, SC 29577-3037
Phone (843) 626-2273
515 Saint James Ave
Goose Creek, SC 29445-2794
Phone (843) 507-8925
817 10TH Ave S
Surfside Beach, SC 29575-3222
Phone (843) 839-7283
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPA.5574 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Urgent Care | Current | Accepting new patients | |
| Patients First Maryland Physicians Group P C | Current | Accepting new patients | |
| Patient First Maryland Physician'S Group PC | Current | Accepting new patients | |
| East PA Emergency Physicians, LLC | Past | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Physician Assistant | Past | Accepting new patients |
Locations
2171 Route 70 W
Cherry Hill, NJ 08002
Phone (856) 406-0023
630 Mantua Pike
Woodbury, NJ 08096
Phone (856) 812-2220
2510 N Kings Hwy
Myrtle Beach, SC 29577
Phone (843) 626-2273
5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1982733564
NJ
-
- Emergency Medicine Physician
- Trenton, NJ
- NPI 1053589614
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
-
- Urgent Care Clinic/Center
- Myrtle Beach, SC
- NPI 1457580474
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1114477270
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1235475211
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763164800000",
"number": "1073632022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 N KINGS HWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295773037",
"telephone_number": "843-626-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 N KINGS HWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295773037",
"telephone_number": "843-626-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNEKEN",
"first_name": "STEPHEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2025-11-15",
"certification_date": "2025-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "MPA.5574",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 15, 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.