Individual provider Active NPI

Jillian Gray Patton, APRN

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1346965134
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32658 Issued in TN
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 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 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, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230420000347 TN Practitioner - Nurse Practitioner 4880059195 Reassigns benefits to 1 organization
I20230614004242 VA Practitioner - Nurse Practitioner 4880059195 Reassigns benefits to 1 organization
I20251006000384 SC Practitioner - Nurse Practitioner 4880059195 Reassigns benefits to 1 organization

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
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

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 100Reported as group
Quality
64.75
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Regional Emergency Physicians, PC CurrentSince Mar 11, 2023 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC CurrentSince May 1, 2023 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Jun 7, 2025 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.

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

Verify at the official NPI Registry.