Individual provider Active NPI

Lindsey States, FNP

  • Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1457668386
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4394 Issued in SC
Practice address
200 Middleburg Dr
Myrtle Beach, SC 29579
Phone
(843) 903-6650
NPI assigned
Sep 14, 2010
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4394 SC Primary
Family Nurse Practitioner 363LF0000X 4394 SC

Addresses

Primary practice location

200 Middleburg Dr
Myrtle Beach, SC 29579

Mailing address

200 Middleburg Dr
Myrtle Beach, SC 29579-3408
Phone (843) 903-6650

Other practice location 1

1608 Main St
Conway, SC 29526-3572
Phone (843) 423-2400

Other practice location 2

809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Other identifiers 2

IdentifierTypeStateIssuer
9084OtherSCMEDICARE GROUP
NP1743MedicaidSC

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
I20110407000229 SC Practitioner - Nurse Practitioner 7719161207 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Housecalls-MDGroup PAC ID 9830414879, 6 clinicians

Practice addresses (Care Compare)

176 Village Ctr Blvd
Myrtle Beach, SC 29579-5622
Phone (304) 482-4826

3100 Tradition Cir
Mt Pleasant, SC 29466-7200
Phone (843) 501-2031

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4394SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services SC LLC Nurse Practitioner CurrentSince May 22, 2023 Accepting new patients
Curana Health of South Carolina PC CurrentSince Mar 6, 2023 Accepting new patients
Broadway Medical Innovation, LLC CurrentSince Feb 1, 2023 Accepting new patients
Housecalls-MD CurrentSince Jul 19, 2025 Accepting new patients
Medicos, P.a. PastSince Feb 11, 2024 Accepting new patients

Locations

3100 Tradition Cir
Mt Pleasant, SC 29466
Phone (843) 654-7945

4016 River Oaks Dr
Ste 6
Myrtle Beach, SC 29579
Phone (843) 655-0004

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15289/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1457668386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MIDDLEBURG DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793408",
            "telephone_number": "843-903-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MIDDLEBURG DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-903-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Main St",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295263572",
            "country_code": "US",
            "telephone_number": "843-423-2400",
            "fax_number": "843-488-2496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 82nd Pkwy",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724607",
            "country_code": "US",
            "telephone_number": "843-692-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATES",
        "first_name": "LINDSEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "4394",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "4394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9084",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1743",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.