Individual provider Active NPI

Karl Weber, CNP

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1225825912
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12772 Issued in MN
Practice address
4612 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5711
Phone
(843) 945-8117
NPI assigned
Apr 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12772 MN Primary

Addresses

Primary practice location

4612 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5711

Mailing address

3220 Saddlewood Cir
Myrtle Beach, SC 29579-4345

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
I20250929000069 SC Practitioner - Nurse Practitioner 5294236402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Health Clinic PAGroup PAC ID 9537499785, 4 clinicians

Practice addresses (Care Compare)

4612 Oleander Dr
Suite 102
Myrtle Beach, SC 29577-5711
Phone (843) 945-8117

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12772MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Health Clinic, PA Family CurrentSince Jul 1, 2025 Accepting new patients

Locations

4612 Oleander Dr
Ste 102
Myrtle Beach, SC 29577
Phone (843) 945-8114

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20060/brand/1/csg/1/fhir/r4
  • Direct secure messaging: karl.weber.1@20060.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1225825912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SADDLEWOOD CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 OLEANDER DR STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775711",
            "telephone_number": "843-945-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "KARL",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.