NPIMap

Individual provider Active NPI

Alexis Gregorio-Snyder, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1396327771
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
86122 Issued in SC
Practice address
5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579
Phone
(843) 236-2700
Fax
(843) 236-2726
NPI assigned
Apr 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 86122 SC Primary

Addresses

Primary practice location

5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579

Mailing address

300 Singleton Ridge Road
Attention PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

251 University Blvd
Ste A
Conway, SC 29526-8834
Phone (843) 347-0524

Other practice location 2

2367B Cypress Cir
Conway, SC 29526-8921
Phone (843) 349-1001

Other practice location 3

1413 Highway 17 N
Surfside Beach, SC 29575-6012
Phone (843) 238-5654

Other identifiers 1

IdentifierTypeStateIssuer
861222MedicaidSC

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
I20240821002946 SC Practitioner - Family Practice 4688064470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

2367 B Cypress Cir
Conway, SC 29526-8921
Phone (843) 349-1001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
Quality
55.48
Improvement activities
0
Cost
74.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86122SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Conway Hospital, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Conway Hospital, Inc. Past Accepting new patients

Locations

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

251 University Blvd
Ste A
Conway, SC 29526
Phone (843) 347-0524

2367B Cypress Cir
Conway, SC 29526
Phone (843) 349-1001

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

5010 Carolina Forest Blvd
Myrtle Beach, SC 29579
Phone (843) 236-2700

1413 Highway 17 N
Surfside Beach, SC 29575
Phone (843) 238-5654

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1396327771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE ROAD",
            "address_2": "ATTENTION PNS CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 CAROLINA FOREST BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793579",
            "telephone_number": "843-236-2700",
            "fax_number": "843-236-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 University Blvd",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268834",
            "country_code": "US",
            "telephone_number": "843-347-0524",
            "fax_number": "843-347-0655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2367B Cypress Cir",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268921",
            "country_code": "US",
            "telephone_number": "843-349-1001",
            "fax_number": "843-349-1008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1413 Highway 17 N",
            "address_purpose": "LOCATION",
            "city": "Surfside Beach",
            "state": "SC",
            "postal_code": "295756012",
            "country_code": "US",
            "telephone_number": "843-238-5654",
            "fax_number": "843-238-1624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORIO-SNYDER",
        "first_name": "ALEXIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "86122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861222",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.