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Individual provider Active NPI

Shannon R Hussey, FNP

  • Family Nurse Practitioner
  • Little River, SC
National Provider Identifier
1275509739
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R 690504 Issued in SC
Practice address
3361 Highway 9 E
Little River, SC 29566-7826
Phone
(843) 497-5929
Fax
(866) 778-9612
NPI assigned
Feb 24, 2006
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 R 690504 SC Primary

Addresses

Primary practice location

3361 Highway 9 E
Little River, SC 29566-7826

Mailing address

100 Villa Mar Dr Unit B4
Myrtle Beach, SC 29579-4473
Phone (843) 655-6671

Other identifiers 1

IdentifierTypeStateIssuer
136604MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000124 SC Practitioner - Nurse Practitioner 6709945413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strand Physician Specialists PAGroup PAC ID 1153226576, 56 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R 690504SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strand Physician Specialists, PA Current Accepting new patients
Southeastern Dermatology Group PA Dermatology CurrentSince Jun 3, 2024 Accepting new patients
Strand Physician Specialists, PA Family CurrentSince Jan 10, 2024 Accepting new patients
Strand Physician Specialists, PA Family CurrentSince Jan 10, 2024 Accepting new patients
Atlantic Dermatology Dermatology CurrentSince Feb 3, 2020 Accepting new patients
Grand Strand Dermatology Dermatology Past Accepting new patients
Strand Physician Specialists, PA Past Accepting new patients

Locations

3361 Highway 9 E
Little River, SC 29566
Phone (843) 449-8079

2237 Highway 9 E
Longs, SC 29568
Phone (843) 399-9965

4591 Socastee Blvd
Myrtle Beach, SC 29588

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

945 82nd Pkwy
Myrtle Beach, SC 29572

Interoperability endpoints

  • Direct secure messaging: shannon.hussey.1@842.direct.athenahealth.com

Organizations & group practices 7

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1275509739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLA MAR DR UNIT B4",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794473",
            "telephone_number": "843-655-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 HIGHWAY 9 E",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667826",
            "telephone_number": "843-497-5929",
            "fax_number": "866-778-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEY",
        "first_name": "SHANNON",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "R 690504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136604",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.