Individual provider Active NPI

Sheree D Nwanegwo, M.D.

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1487610382
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16148 Issued in SC
Practice address
4591 Socastee Blvd
Myrtle Beach, SC 29588-7209
Phone
(843) 497-5929
Fax
(877) 301-6205
NPI assigned
Apr 21, 2006
Last updated
Nov 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16148 SC Primary

Addresses

Primary practice location

4591 Socastee Blvd
Myrtle Beach, SC 29588-7209

Mailing address

PO Box 3439
North Myrtle Beach, SC 29582-0439
Phone (843) 497-5929

Other identifiers 1

IdentifierTypeStateIssuer
TL3173MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070731000041 SC Practitioner - Family Practice 4981705217 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16148SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the East, PA Family Medicine CurrentSince Nov 10, 2025 Accepting new patients
Georgetown Physician Associates, LLC Family Medicine CurrentSince Apr 25, 2022 Accepting new patients
Georgetown Physician Associates LLC Family Medicine CurrentSince Apr 25, 2022 Accepting new patients
Rosanne J Hooks MD PA Family Medicine Past Accepting new patients
Rosanne J Hooks MD PA Family Medicine Past Accepting new patients
Advantage Health Center, LLC Family Medicine Past Accepting new patients

Locations

701 S Morgan Ave
Andrews, SC 29510
Phone (843) 264-5253

1007 N Kings St
Columbia, SC 29223
Phone (803) 699-4111

59 Blackstock Rd
Inman, SC 29349
Phone (864) 472-2028

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4301 Dick Pond Rd
Myrtle Beach, SC 29588
Phone (843) 652-8100

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Interoperability endpoints

  • Direct secure messaging: sheree.nwanegwo.1@17374.direct.athenahealth.com

Organizations & group practices 7

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1487610382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3439",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295820439",
            "telephone_number": "843-497-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 SOCASTEE BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887209",
            "telephone_number": "843-497-5929",
            "fax_number": "877-301-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANEGWO",
        "first_name": "SHEREE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "16148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL3173",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.