Individual provider Active NPI

Ellen Lee Caughman, DNP, APRN, MSN, FNP

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1265044267
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24192 Issued in SC
Practice address
3864 Renee Dr
Myrtle Beach, SC 29579-4108
Phone
(843) 353-2111
Fax
(843) 236-0331
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24192 SC Primary
Primary Care Nurse Practitioner 363LP2300X 24192 SC
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1265044267 SC

Addresses

Primary practice location

3864 Renee Dr
Myrtle Beach, SC 29579-4108

Mailing address

5807 Friendship LN
Myrtle Beach, SC 29588-8702
Phone (843) 251-2537

Other practice location 1

2050 Corporate Centre Dr Ste 220
Myrtle Beach, SC 29577-7428
Phone (843) 444-0813

Other practice location 2

3583 Highway 17
Murrells Inlet, SC 29576-5002
Phone (843) 651-0044

Other identifiers 1

IdentifierTypeStateIssuer
NP7815MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20220730000446 SC Practitioner - Nurse Practitioner 6204218795 Reassigns benefits to 10 organizations
I20230718003209 NC Practitioner - Nurse Practitioner 6204218795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
24192SCMDFamily Nurse Practitioner
1265044267SCMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. Family CurrentSince Jul 25, 2023 Accepting new patients
Little River Medical Center, Inc CurrentSince Jul 25, 2023 Accepting new patients
Little River Medical Center, Inc. Family CurrentSince Jul 25, 2023 Accepting new patients
Little River Medical Center, Inc. CurrentSince Jul 25, 2023 Accepting new patients
Moore Care Therapy and Psychology Clinic CurrentSince Jun 4, 2024 Accepting new patients
Rosalyn Cares Consulting LLC Family CurrentSince Jun 4, 2024 Accepting new patients
Palmetto OBGYN LLC CurrentSince Mar 9, 2025 Accepting new patients
Little River Medical Center Inc Family CurrentSince Jul 25, 2023 Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Jun 5, 2023 Accepting new patients
Lowcountry Urgent Care LLC Primary Care CurrentSince Jun 5, 2023 Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970

82 Whites Crossing Plz
Whiteville, NC 28472
Phone (910) 721-5030

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

1801 W Evans St
Ste 107
Florence, SC 29501
Phone (888) 918-2415

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

3864 Renee Dr
Myrtle Beach, SC 29579
Phone (843) 353-2111

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

1515 Bells Hwy
Walterboro, SC 29488
Phone (843) 522-8223

Organizations & group practices 12

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1265044267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 FRIENDSHIP LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295888702",
            "telephone_number": "843-251-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794108",
            "telephone_number": "843-353-2111",
            "fax_number": "843-236-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Corporate Centre Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295777428",
            "country_code": "US",
            "telephone_number": "843-444-0813",
            "fax_number": "843-444-0779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3583 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765002",
            "country_code": "US",
            "telephone_number": "843-651-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUGHMAN",
        "first_name": "ELLEN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "DNP, APRN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24192",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "24192",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "SC",
            "license": "1265044267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP7815",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.