Individual provider Active NPI

Samantha Helmenstine

  • Physician Assistant
  • Myrtle Beach, SC
National Provider Identifier
1447015805
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6069 Issued in SC
Practice address
8212 Devon CT
Myrtle Beach, SC 29572-4178
Phone
(843) 839-2460
NPI assigned
Feb 15, 2024
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6069 SC Primary

Addresses

Primary practice location

8212 Devon CT
Myrtle Beach, SC 29572-4178

Mailing address

3223 Edison Cir Unit 6205
Myrtle Beach, SC 29577-6847
Phone (843) 359-2548

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
I20260202000231 SC Practitioner - Physician Assistant 0840778874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Dermatology and Skin Surgery Specialists PLLCGroup PAC ID 3173891892, 39 clinicians

Practice addresses (Care Compare)

8212 Devon CT
Myrtle Beach, SC 29572-4178
Phone (704) 364-6110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Dermatology and Skin Surgery Specialists, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Charlotte Dermatology,PA PastSince Nov 2, 2015 Accepting new patients

Locations

8208 Devon Ct
#B
Myrtle Beach, SC 29572
Phone (843) 839-2460

8212 Devon Ct
Myrtle Beach, SC 29572
Phone (843) 273-0379

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1447015805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 EDISON CIR UNIT 6205",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776847",
            "telephone_number": "843-359-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 DEVON CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724178",
            "telephone_number": "843-839-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMENSTINE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "6069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.