Active NPI
Melinda Gould Parker, CNM, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Myrtle Beach, SC
National Provider Identifier
1083677207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 20109
- Practice address
- 1113 44TH Ave N Ste 202
Myrtle Beach, SC 29577-5781 - Phone
- (843) 449-6261
- Fax
- (843) 376-9742
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 20109 | SC | Primary |
| Nurse Practitioner | 363L00000X | 20109 | SC |
Addresses
Primary practice location
1113 44TH Ave N Ste 202
Myrtle Beach, SC 29577-5781
Mailing address
1113 44TH Ave N Ste 202
Myrtle Beach, SC 29577-5781
Phone (843) 779-8089
Other practice location 1
1113 44th Ave N Ste 100
Myrtle Beach, SC 29577-5780
Phone (843) 779-8089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20109 | SC | MD | Otolaryngology/Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1083677207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 44TH AVE N STE 202",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775781",
"telephone_number": "843-779-8089",
"fax_number": "843-376-9742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 44TH AVE N STE 202",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775781",
"telephone_number": "843-449-6261",
"fax_number": "843-376-9742"
}
],
"practiceLocations": [
{
"address_1": "1113 44th Ave N Ste 100",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295775780",
"country_code": "US",
"telephone_number": "843-779-8089",
"fax_number": "843-376-9742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "MELINDA",
"middle_name": "GOULD",
"credential": "CNM, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "20109",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "20109",
"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 Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.