Individual provider Active NPI

Sarah Exum Ryan, PA-C

  • Physician Assistant
  • Myrtle Beach, SC
National Provider Identifier
1457159584
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5768 Issued in SC
Practice address
8220 Nigels Dr
Myrtle Beach, SC 29572-4125
Phone
(843) 692-0968
Fax
(843) 692-2688
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 5768 SC Primary

Addresses

Primary practice location

8220 Nigels Dr
Myrtle Beach, SC 29572-4125

Mailing address

142 Southgate CT
Pawleys Island, SC 29585-4408
Phone (843) 457-2003

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
I20250630000644 SC Practitioner - Physician Assistant 3274046644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Rheumatology and NeurologyGroup PAC ID 7113821646, 6 clinicians

Practice addresses (Care Compare)

8220 Nigels Dr
Myrtle Beach, SC 29572-4125
Phone (843) 692-0968

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5768SCMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: sarah.ryanpa.p1@direct.carolinarheumneuro.nextgenshare.com

Organizations & group practices 1

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1457159584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SOUTHGATE CT",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295854408",
            "telephone_number": "843-457-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 NIGELS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724125",
            "telephone_number": "843-692-0968",
            "fax_number": "843-692-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SARAH",
        "middle_name": "EXUM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.