Active NPI
Lauren Lewis St George, FNP
- Family Nurse Practitioner
- Little River, SC
National Provider Identifier
1134860307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25975
- Practice address
- 100 Water Grande Blvd
Little River, SC 29566-8162 - Phone
- (843) 366-4000
- NPI assigned
- Apr 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 25975 | SC | Primary |
Addresses
Primary practice location
100 Water Grande Blvd
Little River, SC 29566-8162
Mailing address
PO Box 31166
Myrtle Beach, SC 29588-0020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2265 NC Hwy 24 27 E
Biscoe, NC 27209-9758
Phone (919) 828-1131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Quickcare Family Practice, PLLC | Current | Accepting new patients |
Locations
2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054
1102 Yadkinville Rd
#601N
Mocksville, NC 27028
4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970
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.
-
- Internal Medicine Physician
- Biscoe, NC
- NPI 1881360899
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1144022419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1134860307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31166",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295880020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WATER GRANDE BLVD",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295668162",
"telephone_number": "843-366-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST GEORGE",
"first_name": "LAUREN",
"middle_name": "LEWIS",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-04",
"last_updated": "2022-04-04",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "25975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.