NPIMap

Individual provider Active NPI

Alicia Williams Anderson, FNP

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1093075269
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17809 Issued in SC
Practice address
185 Fresh Dr Ste a
Myrtle Beach, SC 29579-4436
Phone
(843) 945-3030
Fax
(843) 650-4019
NPI assigned
May 22, 2012
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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 17809 SC Primary

Addresses

Primary practice location

185 Fresh Dr Ste a
Myrtle Beach, SC 29579-4436

Mailing address

PO Box 2128
Pawleys Island, SC 29585-2128
Phone (843) 945-3030

Other names 1

  • Mrs. Alicia Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120719000545 SC Practitioner - Nurse Practitioner 7012173065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Forest Urgent Care LLCGroup PAC ID 6507123189, 3 clinicians

Practice addresses (Care Compare)

185 Fresh Dr
Suite a
Myrtle Beach, SC 29579-4436
Phone (843) 945-3030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Forest Urgent Care LLC CurrentSince Dec 13, 2017 Accepting new patients
Strand Urgent Care LLC CurrentSince Jan 1, 2026 Accepting new patients
SC House Calls Inc Past Accepting new patients

Locations

1945 Glenns Bay Rd
Surfside Beach, SC 29575
Phone (843) 650-1700

Interoperability endpoints

  • Direct secure messaging: alicia.anderson.2@28145.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAFGDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAFGDD/Endpoint/HAFGDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1093075269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2128",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295852128",
            "telephone_number": "843-945-3030",
            "fax_number": "854-212-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 FRESH DR STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794436",
            "telephone_number": "843-945-3030",
            "fax_number": "843-650-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALICIA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "WILLIAMS",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.