Individual provider Active NPI

Joseph Andres Ruggerio, FNP-C

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1437620143
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22443 Issued in SC
Practice address
920 Doug White Dr Ste 420
Myrtle Beach, SC 29572-4182
Phone
(843) 497-7772
Fax
(843) 848-7530
NPI assigned
Dec 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22443 SC Primary

Addresses

Primary practice location

920 Doug White Dr Ste 420
Myrtle Beach, SC 29572-4182

Mailing address

920 Doug White Dr Ste 420
Myrtle Beach, SC 29572-4182
Phone (843) 497-7772

Other practice location 1

2361 Cypress Cir
Conway, SC 29526-8921
Phone (843) 347-3900

Other practice location 2

6010 Highway 707
Ste 300
Myrtle Beach, SC 29588-7321
Phone (843) 347-3900

Other identifiers 1

IdentifierTypeStateIssuer
NP5757MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190410002627 SC Practitioner - Nurse Practitioner 6406197920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Strand Surgical Specialists LLCGroup PAC ID 4082770656, 57 clinicians

Practice addresses (Care Compare)

4237 River Hills Dr
Suite 150
Little River, SC 29566-6446
Phone (843) 281-2778

920 Doug White Dr
Suite 420
Myrtle Beach, SC 29572-4182
Phone (843) 353-5360

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. Current Accepting new patients
Grand Strand Surgical Specialists, LLC CurrentSince Nov 3, 2019 Accepting new patients
Conway Hospital, Inc. Family Past Accepting new patients

Locations

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

2361 Cypress Cir
Conway, SC 29526
Phone (843) 234-8600

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

2405 2nd Loop Rd
Ste D
Florence, SC 29501
Phone (843) 347-3900

4237 River Hills Dr
Ste 150
Little River, SC 29566
Phone (843) 281-2778

4367 Riverwood Dr
Unit 120
Murrells Inlt, SC 29576
Phone (843) 215-1700

199 Village Center Blvd
Ste 100
Myrtle Beach, SC 29579
Phone (843) 236-4330

920 Doug White Dr
Ste 510
Myrtle Beach, SC 29572
Phone (843) 497-7772

920 Doug White Dr
Ste 420
Myrtle Beach, SC 29572
Phone (843) 353-5360

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Interoperability endpoints

  • Direct secure messaging: joseph.ruggerio@hca5.eclinicaldirectplus.com

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1437620143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 420",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724182",
            "telephone_number": "843-497-7772",
            "fax_number": "843-848-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 420",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724182",
            "telephone_number": "843-497-7772",
            "fax_number": "843-848-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2361 Cypress Cir",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268921",
            "country_code": "US",
            "telephone_number": "843-347-3900",
            "fax_number": "843-347-3930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6010 Highway 707",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887321",
            "country_code": "US",
            "telephone_number": "843-347-3900",
            "fax_number": "843-347-3930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGGERIO",
        "first_name": "JOSEPH",
        "middle_name": "ANDRES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-07",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5757",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.