Karen J Fulwood, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3301 Issued in SC

Practice address

401 79TH Ave N
Myrtle Beach, SC 29572-4310

Phone

(843) 948-1191

Fax

(843) 948-1192

NPI assigned

Aug 22, 2005

Last updated

Jul 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, 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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Mofdaps and CompanyGroup PAC ID 3678611720, 6 clinicians

Rebound Behavioral Health LLCGroup PAC ID 2062656747, 8 clinicians

Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Nu Care Wellness Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Darlington, SC
  • NPI 1184448920

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Lifesource of North Carolina

  • General Practice Physician
  • Clinton, SC
  • NPI 1972861789
  Medicare reassignment Care Compare group NPD
• Mofdaps and Company

  • Psychiatry Physician
  • Myrtle Beach, SC
  • NPI 1144458183
  Medicare reassignment Care Compare group NPD
• Rebound Behavioral Health, LLC

  dba Rebound Behavioral Health

  • Psychiatric Hospital
  • Lancaster, SC
  • NPI 1437593605
  Medicare reassignment Care Compare group
• Lifesource Prime Inc

  • Family Medicine Physician
  • Clinton, SC
  • NPI 1851143523

  Primary Care

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  SC

  Medicare reassignment NPD
• Mercy Specialty Clinic

  dba MercyOne Specialty Care

  • Multi-Specialty Clinic/Center
  • Clinton, IA
  • NPI 1386832764
  Medicare reassignment NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  SC

  Medicare reassignment
• A'Nucare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Darlington, SC
  • NPI 1568072601
  Authorized official Same address or phone
• Lifesource of North Carolina

  • Psychologist
  • Milton, FL
  • NPI 1730648288

  Psychiatric/Mental Health

  NPD
• Lifesource Prime Inc

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1548124159
  NPD
• Medical Associates of Clinton, Iowa P.L.C.

  • Family Medicine Physician
  • Clinton, IA
  • NPI 1841244431
  NPD

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1164414520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NEZ PERCE DR",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295324237",
            "telephone_number": "563-495-8861",
            "fax_number": "843-393-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 79TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724310",
            "telephone_number": "843-948-1191",
            "fax_number": "843-948-1192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mercy Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520017303",
            "country_code": "US",
            "telephone_number": "563-582-0145",
            "fax_number": "888-526-5456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "MOFDAPS Comprehensive Behavioral Health Services",
            "address_2": "1203 48th Avenue North",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "29577",
            "country_code": "US",
            "telephone_number": "843-449-2576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Nez Perce Dr",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "SC",
            "postal_code": "295324237",
            "country_code": "US",
            "telephone_number": "563-495-8861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "SC",
            "postal_code": "295323842",
            "country_code": "US",
            "telephone_number": "843-535-6803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Cashua St",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "SC",
            "postal_code": "295323301",
            "country_code": "US",
            "telephone_number": "843-395-8422",
            "fax_number": "843-393-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 2nd Loop Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295016180",
            "country_code": "US",
            "telephone_number": "843-968-3395",
            "fax_number": "843-667-5137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "SC",
            "postal_code": "295323904",
            "country_code": "US",
            "telephone_number": "843-968-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULWOOD",
        "first_name": "KAREN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "201429",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "201429",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "3301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas D. Fritz
• Front Door Physicians
• Willa Fry, AU.D.
• FS Tenant Pool I Trust (Myrtle Beach Manor)
• FSQ Pharmacy Holdings, LLC (Expert Care Pharmacy)
• William A Funderburk Jr., DMD
• Cynthia Marie Funston
• Juliemar Bonilla Furr, FNP
• Elizabeth Whittier Fusaro, OTR/L
• Fyrebird Recovery

• Psychiatric/Mental Health Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.

Verify at the official NPI Registry.