Individual provider Active NPI

Chasidy Lynn Ward, APRN, FNP-C

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1235755984
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06201365 Issued in SC
Practice address
5023 Carolina Forest Blvd
Myrtle Beach, SC 29579-3578
Phone
(843) 497-5929
Fax
(843) 839-4448
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 F06201365 SC Primary

Addresses

Primary practice location

5023 Carolina Forest Blvd
Myrtle Beach, SC 29579-3578

Mailing address

PO Box 3439
North Myrtle Beach, SC 29582-0439
Phone (843) 497-5929

Other practice location 1

4591 Socastee Blvd
Myrtle Beach, SC 29588-7209
Phone (843) 497-5929

Other names 1

  • Chasidy Ward Professional name

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
I20220314000168 SC Practitioner - Nurse Practitioner 7719372689 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Carolina Family MedicineGroup PAC ID 6901799873, 2 clinicians

Practice addresses (Care Compare)

3124 S Cashua Dr
Florence, SC 29501-6302
Phone (843) 665-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06201365SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Doctors LLC CurrentSince Feb 18, 2022 Accepting new patients
Strand Physician Specialists, PA Current Accepting new patients
Liberty Doctors, LLC CurrentSince Feb 18, 2022 Accepting new patients
Eastern Carolina Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Strand Physician Specialists, PA CurrentSince Mar 4, 2024 Accepting new patients
Strand Physician Specialists, PA Family CurrentSince Mar 4, 2024 Accepting new patients

Locations

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

3124 S Cashua Dr
Florence, SC 29501
Phone (843) 665-2600

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

4591 Socastee Blvd
Myrtle Beach, SC 29588

5023 Carolina Forest Blvd
Myrtle Beach, SC 29579
Phone (843) 839-4447

945 82nd Pkwy
Myrtle Beach, SC 29572

Organizations & group practices 6

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1235755984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3439",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295820439",
            "telephone_number": "843-497-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 CAROLINA FOREST BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793578",
            "telephone_number": "843-497-5929",
            "fax_number": "843-839-4448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4591 Socastee Blvd",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887209",
            "country_code": "US",
            "telephone_number": "843-497-5929",
            "fax_number": "866-778-9611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "CHASIDY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F06201365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHASIDY",
            "last_name": "WARD",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.