Individual provider Active NPI

Madison Osakowicz

  • Physician Assistant
  • North Myrtle Beach, SC
National Provider Identifier
1104694017
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2021 N Myrtle Point Blvd
North Myrtle Beach, SC 29582-2224
Phone
(843) 663-0283
Fax
(843) 366-2450
NPI assigned
Dec 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2021 N Myrtle Point Blvd
North Myrtle Beach, SC 29582-2224

Mailing address

2021 N Myrtle Point Blvd Ste 101
North Myrtle Beach, SC 29582-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250630004296 NC Practitioner - Physician Assistant 6901319219 Reassigns benefits to 1 organization
I20260624003023 SC Practitioner - Physician Assistant 6901319219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians

Practice addresses (Care Compare)

2021 N Myrtle Point Blvd
Suite 102
North Myrtle Beach, SC 29582-2224
Phone (843) 366-3030

2265 NC Hwy 24 27 E
Biscoe, NC 27209-9758
Phone (919) 828-1131

4612 Main St
Shallotte, NC 28470-4452
Phone (910) 444-2970

Hospital & facility affiliations

  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1104694017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N MYRTLE POINT BLVD STE 101",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822224",
            "fax_number": "843-366-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MYRTLE POINT BLVD",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822224",
            "telephone_number": "843-663-0283",
            "fax_number": "843-366-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAKOWICZ",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.