Active NPI
Susan Ellen Myers, WHNPC
- Women's Health Nurse Practitioner
- Charleston, SC
National Provider Identifier
1366433294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APN 620
- Practice address
- 3 Charleston Center Dr
Charleston County Health Clinic
Charleston, SC 29401-1162 - Phone
- (843) 579-4606
- Fax
- (843) 570-4621
- NPI assigned
- Oct 31, 2005
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APN 620 | SC | Primary |
Addresses
Primary practice location
3 Charleston Center Dr
Charleston County Health Clinic
Charleston, SC 29401-1162
Mailing address
1453 Diamond Blvd
Mt Pleasant, SC 29466-9464
Phone (843) 849-8523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN 620 | SC | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366433294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1453 DIAMOND BLVD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294669464",
"telephone_number": "843-849-8523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CHARLESTON CENTER DR",
"address_2": "CHARLESTON COUNTY HEALTH CLINIC",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294011162",
"telephone_number": "843-579-4606",
"fax_number": "843-570-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "SUSAN",
"middle_name": "ELLEN",
"credential": "WHNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SC",
"license": "APN 620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.