Individual provider Active NPI

Alexis Jo Brown, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1245670934
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36061 Issued in SC
Practice address
3725 Renee Dr
Myrtle Beach, SC 29579-4109
Phone
(843) 350-1124
Fax
(877) 452-8854
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36061 SC Primary

Addresses

Primary practice location

3725 Renee Dr
Myrtle Beach, SC 29579-4109

Mailing address

3725 Renee Dr
Myrtle Beach, SC 29579-4109
Phone (843) 350-1124

Other identifiers 1

IdentifierTypeStateIssuer
36061OtherSCMEDICAL LICENSE

Other names 1

  • Alexis Jo Aja Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexis.brown.1@29601.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160617000850 SC Practitioner - Family Practice 2365664042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2520 S Hwy 17
Unit 10
Murrells Inlet, SC 29576-7657
Phone (843) 595-2937

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36061SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care SC JV PC Family Medicine CurrentSince Feb 5, 2024 Accepting new patients
Centerwell Senior Primary Care SC JV PC Family Medicine CurrentSince Feb 5, 2024 Accepting new patients
Centerwell Senior Primary Care SC JV PC Family Medicine Current Accepting new patients
Centerwell Senior Primary Care SC JV PC Family Medicine Past Accepting new patients

Locations

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

2520 S Highway 17
Unit 10
Murrells Inlet, SC 29576
Phone (843) 595-2937

3725 Renee Dr
Myrtle Beach, SC 29579
Phone (843) 350-1124

1612 Airport Blvd
West Columbia, SC 29169
Phone (803) 380-6399

Interoperability endpoints

  • Direct secure messaging: alexis.brown.1@29601.direct.athenahealth.com
  • Direct secure messaging: alexis.brown@centerwell.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1245670934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794109",
            "telephone_number": "843-350-1124",
            "fax_number": "877-452-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794109",
            "telephone_number": "843-350-1124",
            "fax_number": "877-452-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALEXIS",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "36061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "36061",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexis.brown.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "alexis.brown.1@29601.direct.athenahealth.com",
            "address_1": "3725 Renee Dr",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295794109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "AJA",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.