Emily Neal Deleon, APRN
Individual provider Active NPI Family Nurse Practitioner · Myrtle Beach, SC
NPI 1366077430 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1366077430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 23537 (SC)
- Practice address
- 4612 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5711 - Phone
- (843) 945-8117
- NPI assigned
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Medical University of South Carolina College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medcare Express - North Charleston LLC
Practice addresses (Care Compare)
3816 Hwy 17 S
North Myrtle Beach, SC 29582-5069
Phone (843) 272-1411
Hospital & facility affiliations
- McLeod Loris Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200324001100 | SC | Practitioner - Nurse Practitioner | 2163850223 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23537 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcare Urgent Care Center - Anderson LLC | Current |
Accepting new patients | |
| Access Medical Management, Inc | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Medcare Express - North Charleston LLC | Current |
Accepting new patients | |
| Family First Health Clinic, PA | Family | Current |
Accepting new patients |
| Palmetto Medical Clinic LLC | Family | Current |
Accepting new patients |
| Charleston Carenow Urgent Care, LLC | Past |
Accepting new patients |
Locations
1115 Savannah Hwy
Charleston, SC 29407
Phone (843) 300-3355
1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246
10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032
7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310
2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803
931 Medical Cir
Ste A
Myrtle Beach, SC 29572
Phone (843) 945-8117
4612 Oleander Dr
Ste 102
Myrtle Beach, SC 29577
Phone (843) 945-8114
8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629
8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406
8720 Dorchester Rd
Ste 1201
North Charleston, SC 29420
Phone (843) 552-3629
3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411
201 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-3209
301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246
1675 N Main St
Summerville, SC 29486
Phone (843) 285-2169
110 Medical Cir
Ste A
West Columbia, SC 29169
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- emily.deleon.1@32728.direct.athenahealth.com
- https://api.platform.athenahealth.com/20060/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23537 | SC | Yes |
Addresses
Primary practice location
4612 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5711
Mailing address
5126 Morning Frost PL
Myrtle Beach, SC 29579-3576
Phone (803) 630-7010
Other practice location 1
251 Flybridge Rd
Myrtle Beach, SC 29579-6731
Phone (803) 630-7010
Other names
- Emily Neal Smith
NPI Registry JSON
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1366077430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5126 MORNING FROST PL",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793576",
"telephone_number": "803-630-7010",
"fax_number": "843-913-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4612 OLEANDER DR STE 102",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775711",
"telephone_number": "843-945-8117"
}
],
"practiceLocations": [
{
"address_1": "251 Flybridge Rd",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295796731",
"country_code": "US",
"telephone_number": "803-630-7010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELEON",
"first_name": "EMILY",
"middle_name": "NEAL",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "23537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "SMITH",
"middle_name": "NEAL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Myrtle Beach, SC
- Stephen Michael Decker
- Michelle L. Deeney
- Richard Anthony Defalco
- Kevin Michael Deighan
- Kristin Lauren Deitle
- Rachel Delgado
- Joshua P Delong
- Carrie Marie Deluca
- Raberta Jamy Demercurio
- Megan Demler
All providers in Myrtle Beach, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.