Nickeria Fearon

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

4320 Falls Oaks St
Myrtle Beach, SC 29579-4684

Phone

(954) 305-3646

NPI assigned

Oct 8, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1114892114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 FALLS OAKS ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794684",
            "telephone_number": "954-305-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 FALLS OAKS ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794684",
            "telephone_number": "954-305-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARON",
        "first_name": "NICKERIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Medhat M Faris, MD
• Morgan Sanders Farrah, FNP-C
• Corrie Lee Farrar
• Dawn Farrell, LPCA
• Karen Leanne Farris, FNP-BC
• Christopher Charles Feathers, M.D.
• Kevan Fegely
• William H Felder, LPC
• William Feldmann
• Carel Rae-Carla Sherifa Felix

• Intellectual & Developmental Disabilities Psychologist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Intellectual & Developmental Disabilities Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.