Active NPI
Sheree D Nwanegwo, M.D.
- Family Medicine Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16148
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TL3173 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16148 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Post Acute Care Physicians of the East, PA | Family Medicine | Current | Accepting new patients |
| Georgetown Physician Associates, LLC | Family Medicine | Current | Accepting new patients |
| Georgetown Physician Associates LLC | Family Medicine | Current | 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
- 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.
-
dba Tidelands Health Family Medicine
- Family Medicine Physician
- Murrells Inlet, SC
- NPI 1235475930
-
- Family Medicine Physician
- Miramar, FL
- NPI 1063848968
SC
-
dba Tidelands Health Group
- Family Medicine Physician
- Georgetown, SC
- NPI 1881410587
-
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1598742041
-
dba Independent Physicians Group
- Family Medicine Physician
- Mullins, SC
- NPI 1073518486
-
dba Independent Physicians Group
- Family Medicine Physician
- Mullins, SC
- NPI 1396825030
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.