Individual provider Active NPI

Elisabeth Grace Barnett

  • Psychiatric/Mental Health Nurse Practitioner
  • Conway, SC
National Provider Identifier
1508667122
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
30748 Issued in SC
Practice address
1301 Main St
Conway, SC 29526-3634
Phone
(843) 703-1027
Fax
(843) 627-4617
NPI assigned
Mar 20, 2025
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 30748 SC Primary

Addresses

Primary practice location

1301 Main St
Conway, SC 29526-3634

Mailing address

1301 Main St
Conway, SC 29526-3634
Phone (843) 703-1027

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
I20260116000143 SC Practitioner - Nurse Practitioner 4587141908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radial Health Florida PAGroup PAC ID 6901300367, 16 clinicians

Practice addresses (Care Compare)

1301 Main St
Conway, SC 29526-3634
Phone (843) 703-1029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30748SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health Florida, P.a. CurrentSince Mar 19, 2026 Accepting new patients
Advanced Practice Mental Health and Wellness of South Carolina L.L.C. Psychiatric/Mental Health CurrentSince Oct 18, 2025 Accepting new patients
Living Water Mental Health Brain Treatment Center CurrentSince Mar 19, 2026 Accepting new patients

Locations

1301 Main St
Conway, SC 29526
Phone (843) 703-1027

1086 London St
Ste B
Myrtle Beach, SC 29577
Phone (843) 703-1027

630 Chestnut Rd
Myrtle Beach, SC 29572
Phone (843) 945-1452

Organizations & group practices 3

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": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1508667122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263634",
            "telephone_number": "843-703-1027",
            "fax_number": "843-627-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263634",
            "telephone_number": "843-703-1027",
            "fax_number": "843-627-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "ELISABETH",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "30748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.