Active NPI
Brittany Wynn Gibson, NP
- Primary Care Nurse Practitioner
- Pawleys Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 29067
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
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
- Tidelands Georgetown Memorial Hospital
- Tidelands Waccamaw Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Physician Associates, LLC | Current | Accepting new patients | |
| Georgetown Physician Associates LLC | Current | 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.
-
- Rural Health Clinic/Center
- Andrews, SC
- NPI 1104995372
-
- Rural Health Clinic/Center
- Pawleys Island, SC
- NPI 1306028832
-
- Rural Health Clinic/Center
- Hemingway, SC
- NPI 1588716815
-
- Rural Health Clinic/Center
- Georgetown, SC
- NPI 1841364007
-
- Family Medicine Physician
- Georgetown, SC
- NPI 1881410587
-
- Obstetrics & Gynecology Physician
- Georgetown, SC
- NPI 1548501976
-
- Family Medicine Physician
- Pawleys Island, SC
- NPI 1962691402
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Georgetown, SC
- NPI 1760430334
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.