Active NPI
Jillian Gray Patton, APRN
- Family Nurse Practitioner
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 32658
- Practice address
- 823 82ND Pkwy
Myrtle Beach, SC 29572-4607 - Phone
- (843) 449-1010
- Fax
- (843) 497-6171
- NPI assigned
- Oct 5, 2022
- Last updated
- Nov 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 32658 | TN | Primary |
Addresses
Primary practice location
823 82ND Pkwy
Myrtle Beach, SC 29572-4607
Mailing address
823 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 449-1010
Other practice location 1
809 82nd Pkwy Ste B
Myrtle Beach, SC 29572-4607
Phone (843) 449-1010
Other practice location 2
1255 Tadlock Dr
Murrells Inlet, SC 29576-7973
Phone (843) 293-0446
Other practice location 3
135 Professional Park Dr
Conway, SC 29526-9261
Phone (843) 347-8765
Other practice location 4
3600 Sea Mountain Hwy Ste D
Little River, SC 29566-8161
Phone (843) 399-8930
Other practice location 5
309 Hinson Dr
Myrtle Beach, SC 29579-4435
Phone (843) 236-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.12 of 100
- Quality
- 64.75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Regional Emergency Physicians, PC | Current | Accepting new patients | |
| Western Virginia Regional Emergency Physicians, LLC | Current | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Current | Accepting new patients |
Locations
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Emergency Medicine Physician
- Norton, VA
- NPI 1386183028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793577600000",
"number": "1346965134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724607",
"telephone_number": "843-449-1010",
"fax_number": "843-497-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724607",
"telephone_number": "843-449-1010",
"fax_number": "843-497-6171"
}
],
"practiceLocations": [
{
"address_1": "809 82nd Pkwy Ste B",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295724607",
"country_code": "US",
"telephone_number": "843-449-1010",
"fax_number": "843-497-6171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1255 Tadlock Dr",
"address_purpose": "LOCATION",
"city": "Murrells Inlet",
"state": "SC",
"postal_code": "295767973",
"country_code": "US",
"telephone_number": "843-293-0446",
"fax_number": "843-293-0448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 Professional Park Dr",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295269261",
"country_code": "US",
"telephone_number": "843-347-8765",
"fax_number": "843-236-4746",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Sea Mountain Hwy Ste D",
"address_purpose": "LOCATION",
"city": "Little River",
"state": "SC",
"postal_code": "295668161",
"country_code": "US",
"telephone_number": "843-399-8930",
"fax_number": "843-399-8932",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 Hinson Dr",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295794435",
"country_code": "US",
"telephone_number": "843-236-4949",
"fax_number": "843-236-4746",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTON",
"first_name": "JILLIAN",
"middle_name": "GRAY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2026-11-02",
"certification_date": "2026-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "32658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; 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.