NPIMap

Individual provider Active NPI

Tracy Dawn Nelson, MD

  • Obstetrics & Gynecology Physician
  • Myrtle Beach, SC
National Provider Identifier
1356445696
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19993 Issued in SC
Practice address
8203 Nigels Dr
Suite 100
Myrtle Beach, SC 29572-4177
Phone
(843) 449-5848
Fax
(843) 692-0841
NPI assigned
Sep 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 19993 SC Primary

Addresses

Primary practice location

8203 Nigels Dr
Suite 100
Myrtle Beach, SC 29572-4177

Mailing address

8203 Nigels Dr
Suite 100
Myrtle Beach, SC 29572-4177
Phone (843) 449-5848

Other identifiers 1

IdentifierTypeStateIssuer
T40925MedicaidSC

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
I20111215000932 SC Practitioner - Obstetrics/Gynecology 1658425327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Yale University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

170 Village Ctr Blvd
Myrtle Beach, SC 29579-6618
Phone (843) 449-5848

Hospital & facility affiliations

  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
  • Conway Medical Center Hospital, Conway, SC, CCN 420049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19993SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Aug 19, 2016 Accepting new patients
Magnolia OB-GYN LLC of Myrtle Beach Obstetrics & Gynecology CurrentSince Oct 1, 1999 Accepting new patients
McLeod Physician Associates II Obstetrics & Gynecology CurrentSince Mar 1, 2025 Accepting new patients
McLeod Physician Associates II CurrentSince Mar 1, 2025 Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

506 E Cheves St
#202
Florence, SC 29506

170 Village Center Blvd
Myrtle Beach, SC 29579
Phone (843) 449-5848

8203 Nigels Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-5848

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1356445696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 NIGELS DR",
            "address_2": "SUITE 100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724177",
            "telephone_number": "843-449-5848",
            "fax_number": "843-692-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 NIGELS DR",
            "address_2": "SUITE 100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724177",
            "telephone_number": "843-449-5848",
            "fax_number": "843-692-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TRACY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "19993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T40925",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.