Individual provider Active NPI

Lynda Myhre Stiles, APRN, APN

  • Women's Health Nurse Practitioner
  • Little River, SC
National Provider Identifier
1386609030
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
24941 Issued in SC
Practice address
4303 Live Oak Dr
Little River, SC 29566-9138
Phone
(843) 663-8000
Fax
(843) 663-8166
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NN08722000 NJ
Women's Health Nurse Practitioner 363LW0102X 24941 SC Primary

Addresses

Primary practice location

4303 Live Oak Dr
Little River, SC 29566-9138

Mailing address

PO Box 547
Little River, SC 29566-0547
Phone (843) 663-8000

Other identifiers 1

IdentifierTypeStateIssuer
6674704MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140819002164 NJ Practitioner - Nurse Practitioner 9638396427 Reassigns benefits to 1 organization
I20220706001775 SC Practitioner - Nurse Practitioner 9638396427 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little River Medical Center IncGroup PAC ID 2961309315, shared by 7 NPIs, 38 clinicians

Practice addresses (Care Compare)

1075 Mr Joe White Ave
Unit 101
Myrtle Beach, SC 29577-5658
Phone 84366380008294

3515 Caduceus Dr
Suite B
Myrtle Beach, SC 29588-2922
Phone (843) 663-8013

3817 Main St
Loris, SC 29569-3017
Phone (843) 663-8000

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone 84366380008294

4303 Live Oak Dr
Little River, SC 29566-9138
Phone (843) 663-8000

7724 N Kings Hwy
Myrtle Beach, SC 29572-3041
Phone (843) 663-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NN08722000NJMDAdult Health Nurse Practitioner
24941SCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. CurrentSince Apr 19, 2022 Accepting new patients
Little River Medical Center, Inc. CurrentSince Apr 19, 2022 Accepting new patients
New Jersey Medical and Health Associates,LLC CurrentSince Jan 1, 2015 Accepting new patients
Little River Medical Center Inc CurrentSince Apr 19, 2022 Accepting new patients
Little River Medical Center, Inc. CurrentSince Apr 19, 2022 Accepting new patients
Little River Medical Center, Inc CurrentSince Apr 19, 2022 Accepting new patients

Locations

53 W White Horse Pike
Galloway, NJ 08205
Phone (609) 652-1453

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1386609030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295660547",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 LIVE OAK DR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669138",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "LYNDA",
        "middle_name": "MYHRE",
        "credential": "APRN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN08722000",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SC",
            "license": "24941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6674704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.