Beverly Elaine Miller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18928 Issued in SC

Practice address

4882 Socastee Blvd Ste 201
Myrtle Beach, SC 29588-7245

Phone

(843) 668-2744

Fax

(843) 668-2742

NPI assigned

Jul 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health of the Lowcountry Inc Home health agency, Myrtle Beach, SC, CCN 427138

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Inclusive Healthcare Center

  • Primary Care Clinic/Center
  • Myrtle Beach, SC
  • NPI 1144811068
  Medicare reassignment Authorized official
• Grand Strand Psychological Services, PA

  • Clinical Neuropsychologist
  • Myrtle Beach, SC
  • NPI 1295957678
  NPD (past)

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

• Well Care Home Health of the Lowcountry

  • Home Health Agency
  • Myrtle Beach, SC
  • NPI 1124536446
  Care Compare affiliation

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1275941213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4882 SOCASTEE BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887245",
            "telephone_number": "843-668-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4882 SOCASTEE BLVD STE 201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887245",
            "telephone_number": "843-668-2744",
            "fax_number": "843-668-2742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 N. Main Street",
            "address_2": "Spring Valley Family Practice",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "292863572",
            "country_code": "US",
            "telephone_number": "843-248-4700",
            "fax_number": "843-248-3145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BEVERLY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306907613",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milestones Behavioral Services LLC
• Abraham Millan
• Alan Miller
• Andrea Nicole Miller, DMD
• Ashley Marie Miller, APRN,FNP-C
• Frankie Machado Miller II, LCSW-C
• Glenda Katlin Michelle Miller, WHNP-BC
• Hannah Grace Miller, DMD
• Melina Lea Miller, PTA
• Nicole Miller, PHARMD

• Family Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.