Active NPI
Michele Lively, APRN
- Nurse Practitioner
- Georgetown, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1075
- Practice address
- 1075 N Fraser St
Georgetown, SC 29440-2848 - Phone
- (843) 527-4442
- Fax
- (843) 527-4027
- NPI assigned
- Apr 26, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1075 | SC | Primary |
Addresses
Primary practice location
1075 N Fraser St
Georgetown, SC 29440-2848
Mailing address
PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000
Other practice location 1
1301 Creel St
Conway, SC 29527-5018
Phone (843) 248-4414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0471 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlively195259@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Georgetown Health Group
Practice addresses (Care Compare)
1011 N Fraser St
Georgetown, SC 29440-2848
Phone (843) 652-8160
1075 N Fraser St
Georgetown, SC 29440-2848
Phone (843) 527-4442
2347 S Hwy 17
Murrells Inlet, SC 29576-7611
Phone (843) 357-2443
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1075 | SC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Physician Associates, LLC | Current | Accepting new patients | |
| Georgetown Physician Associates LLC | Current | Accepting new patients | |
| Inlet Pulmonary Critical Care and Sleep Medicine, PA | Current | Accepting new patients | |
| Georgetown Physician Associates, LLC | Current | Accepting new patients | |
| Georgetown Physician Services, LLC | Past | Accepting new patients |
Locations
1075 N Fraser St
Georgetown, SC 29440
Phone (843) 527-3588
2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443
4057 Highway 17
Murrells Inlt, SC 29576
Phone (843) 652-4800
12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231
Interoperability endpoints
- mlively195259@direct.musc.edu
- https://fhir4.healow.com/fhir/r4/BBFHAD
- https://fhirprod.musc.edu/fhirprod/api/FHIR/R4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tidelands Health Family Medicine
- Family Medicine Physician
- Murrells Inlet, SC
- NPI 1235475930
-
dba Tidelands Health Group
- Family Medicine Physician
- Georgetown, SC
- NPI 1881410587
-
dba Tidelands Health Family Medicine
- Family Medicine Physician
- Georgetown, SC
- NPI 1508849837
-
- Pulmonary Disease Physician
- Murrells Inlet, SC
- NPI 1912366568
-
dba Waccamaw Family Medicine
- Family Medicine Physician
- Pawley's Island, SC
- NPI 1962691402
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Georgetown
- Home Health Agency
- Georgetown, SC
- NPI 1760430334
-
dba Tidelands Health Skilled Care
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
Hospital
-
dba Tidelands Georgetown Memorial Hospital
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
dba Tidelands Waccamaw Community Hospital
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1437116241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421718",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294424203",
"telephone_number": "843-527-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 N FRASER ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294402848",
"telephone_number": "843-527-4442",
"fax_number": "843-527-4027"
}
],
"practiceLocations": [
{
"address_1": "1301 Creel St",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295275018",
"country_code": "US",
"telephone_number": "843-248-4414",
"fax_number": "843-248-3781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIVELY",
"first_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "1075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0471",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlively195259@direct.musc.edu",
"affiliation": "Y",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1075 N Fraser St",
"city": "Georgetown",
"state": "SC",
"country_code": "US",
"postal_code": "294402848",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.