Individual provider Active NPI

Laura Glass, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1114786845
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28499 Issued in SC
Practice address
101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Phone
(803) 373-9378
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28499 SC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5023682 NC

Addresses

Primary practice location

101 Brightwater Dr
Myrtle Beach, SC 29579-8275

Mailing address

122 Pine Grove Cir
Clover, SC 29710-8943
Phone (803) 373-9378

Other practice location 1

122 Pine Grove Cir
Clover, SC 29710-8943
Phone (803) 373-9378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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
I20250910003684 SC Practitioner - Nurse Practitioner 8022511625 Reassigns benefits to 3 organizations
I20260328000365 NC Practitioner - Nurse Practitioner 8022511625 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of South Carolina PCGroup PAC ID 1951672617, 226 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians
CH Specialty Services SC LLCGroup PAC ID 6608182993, 222 clinicians

Practice addresses (Care Compare)

255 Midland Pkwy
Summerville, SC 29485-8104
Phone (737) 226-6700

4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Phone (337) 991-9276

6650 Rivers Ave
North Charleston, SC 29406-4809
Phone (337) 991-9276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28499SCMDFamily Medicine Physician
5023682NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Now Holistic Mental Health Psychiatric/Mental Health CurrentSince May 25, 2026 Accepting new patients
CH Specialty Services SC LLC CurrentSince Sep 16, 2025 Accepting new patients
Curana Health of South Carolina PC CurrentSince Sep 16, 2025 Accepting new patients
Integrity Behavioral Health LLC PastSince Mar 17, 2024 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1114786845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 PINE GROVE CIR",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297108943",
            "telephone_number": "803-373-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRIGHTWATER DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295798275",
            "telephone_number": "803-373-9378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Pine Grove Cir",
            "address_purpose": "LOCATION",
            "city": "Clover",
            "state": "SC",
            "postal_code": "297108943",
            "country_code": "US",
            "telephone_number": "803-373-9378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "28499",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5023682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.