Carleen Willeford, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN3204RX Issued in SC

Practice address

416 Main St
North Myrtle Beach, SC 29582-3024

Phone

(843) 663-0933

Fax

(843) 663-0936

NPI assigned

Apr 24, 2007

Last updated

Nov 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grace Family Services IncGroup PAC ID 5294274841, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Grace Family Services Inc

  • Psychiatry Physician
  • North Myrtle Beach, SC
  • NPI 1003549759

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Sandhills Intergrated Care, Inc.

  • Community/Behavioral Health Agency
  • Myrtle Beach, SC
  • NPI 1548757123

  Multi-Specialty

  NPD
• Coastal Carolinas Integrated Medicine PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Supply, NC
  • NPI 1649304239

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1164641908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DOCTORS CIR",
            "address_2": "SUITE 2",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624089",
            "telephone_number": "910-755-6060",
            "fax_number": "910-755-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MAIN ST",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823024",
            "telephone_number": "843-663-0933",
            "fax_number": "843-663-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEFORD",
        "first_name": "CARLEEN",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN3204RX",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201524",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "3024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Mark Weitzman, M.D.
• Amy Michele Wendelowski, LPC
• Teresa Werner
• Aaron Brent Westerlund, O.D.
• Elma Denise Whidby, MD
• Brielle Lynn Williams
• Grace O Williams, CCC-SLP
• Shannon Marie Willoughby, LMT
• Donald Jared Wilson, DMD
• Alisha Carter Witmore, PTA

• Family Nurse Practitioner in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.