Individual provider Active NPI

Danielle Olivia Woodley, FNP-C

  • Nurse Practitioner
  • Pawley's Island, SC
National Provider Identifier
1154860369
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20744 Issued in SC
Practice address
201 Business Center Dr.
Pawleys Island, SC 29585
Phone
(888) 467-1117
Fax
(888) 990-3903
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20744 SC Primary
Family Nurse Practitioner 363LF0000X 20744 SC

Addresses

Primary practice location

201 Business Center Dr.
Pawleys Island, SC 29585

Mailing address

201 Business Center Dr.
Pawleys Island, SC 29585
Phone (888) 467-1117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190911002023 SC Practitioner - Nurse Practitioner 7315276664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Wellness Center LLCGroup PAC ID 2163723123, 2 clinicians

Practice addresses (Care Compare)

4955 Hwy 17 Byp S
Myrtle Beach, SC 29577-6684
Phone (888) 403-2444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20744SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Wellness Center, LLC CurrentSince Jul 3, 2019 Accepting new patients
Coastal Urgent Care & Family Medicine CurrentSince Jul 3, 2019 Accepting new patients

Locations

4953 Highway 17 Byp S
Myrtle Beach, SC 29577

4955 Highway 17 Byp S
Myrtle Beach, SC 29577
Phone 86456889406684

201 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-3209

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.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1154860369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BUSINESS CENTER DR.",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "29585",
            "telephone_number": "888-467-1117",
            "fax_number": "888-990-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BUSINESS CENTER DR.",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "29585",
            "telephone_number": "888-467-1117",
            "fax_number": "888-990-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLEY",
        "first_name": "DANIELLE",
        "middle_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "20744",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

Verify at the official NPI Registry.