Individual provider Active NPI

Brittany Wynn Gibson, NP

  • Primary Care Nurse Practitioner
  • Pawleys Island, SC
National Provider Identifier
1518786367
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
29067 Issued in SC
Practice address
64 Business Center Drive
Pawleys Island, SC 29585
Phone
(843) 314-1314
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 29067 SC Primary

Addresses

Primary practice location

64 Business Center Drive
Pawleys Island, SC 29585

Mailing address

606 Black River Road
P.O. Box 421718
Georgetown, SC 29442
Phone (843) 527-7000

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
I20241209003453 SC Practitioner - Nurse Practitioner 7810423225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgetown Physician Associates, LLCGroup PAC ID 2365697398, 221 clinicians

Practice addresses (Care Compare)

64 Business Ctr Dr
Pawleys Island, SC 29585-7963
Phone (843) 314-1314

Hospital & facility affiliations

  • Amedisys Home Health of Georgetown Home health agency, Georgetown, SC, CCN 427065
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC CurrentSince Dec 30, 2024 Accepting new patients
Georgetown Physician Associates LLC CurrentSince Dec 30, 2024 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

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

1075 N Fraser St
Georgetown, SC 29440
Phone (843) 527-3588

456 N Main St
Hemingway, SC 29554
Phone (843) 558-9319

11916 Highway 707
Ste D
Murrells Inlet, SC 29576
Phone (843) 652-8450

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

4367 Riverwood Dr
Unit 110
Murrells Inlet, SC 29576
Phone (843) 652-8046

4320 Holmestown Rd
Myrtle Beach, SC 29588
Phone (843) 546-3132

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

2200 Crow Ln
Ste 301
Myrtle Beach, SC 29577
Phone (843) 848-5300

64 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-1305

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

9699 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-4296

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1518786367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BLACK RIVER ROAD",
            "address_2": "P.O. BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "29442",
            "telephone_number": "843-527-7000",
            "fax_number": "843-520-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BUSINESS CENTER DRIVE",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "29585",
            "telephone_number": "843-314-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "BRITTANY",
        "middle_name": "WYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "29067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawleys Island, SC

Sources for this page

Verify at the official NPI Registry.