Individual provider Active NPI

Alexis Louise Crawley, FNP

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1306469432
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26163 Issued in SC
Practice address
101 McLeod Health Blvd Ste 201
Myrtle Beach, SC 29579-4477
Phone
(843) 646-8001
NPI assigned
May 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013129 NC
Family Nurse Practitioner 363LF0000X 26163 SC Primary

Addresses

Primary practice location

101 McLeod Health Blvd Ste 201
Myrtle Beach, SC 29579-4477

Mailing address

101 McLeod Health Blvd Ste 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20220131000201 NC Practitioner - Nurse Practitioner 2668865460 Reassigns benefits to 1 organization
I20221026000853 SC Practitioner - Nurse Practitioner 2668865460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woundwise Solutions LLCGroup PAC ID 4981142361, 2 clinicians
SC Wound Solutions LLCGroup PAC ID 1557842598, 2 clinicians

Practice addresses (Care Compare)

6020 Jibe CT
Awendaw, SC 29429-6024
Phone (843) 256-4349

6020 Jibe CT
Awendaw, SC 29429-6320
Phone (843) 697-5727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26163SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC Wound Solutions LLC CurrentSince Jan 1, 2026 Accepting new patients
Scmwc Inc CurrentSince Sep 15, 2024 Accepting new patients
Woundwise Solutions LLC CurrentSince Oct 5, 2024 Accepting new patients
Ncmwc, Inc CurrentSince Sep 15, 2024 Accepting new patients
Verdin Pediatrics, PLLC CurrentSince Sep 2, 2021 Accepting new patients

Locations

10089 Willow Creek Rd
Ste 200
San Diego, CA 92131
Phone (858) 621-1514

9869 Ocean Hwy W
Ste 12
Carolina Shores, NC 28467
Phone (910) 575-3522

5540 Centerview Dr
Ste 204
Raleigh, NC 27606
Phone (704) 221-2320

1117 48th Ave N
Ste 124
Myrtle Beach, SC 29577
Phone (619) 289-9356

Organizations & group practices 5

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": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306469432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MCLEOD HEALTH BLVD STE 201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794477",
            "telephone_number": "843-646-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MCLEOD HEALTH BLVD STE 201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794477",
            "telephone_number": "843-646-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWLEY",
        "first_name": "ALEXIS",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013129",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.