Individual provider Active NPI

Leslie Fahy McLamb, FNP

  • Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1528554532
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21995 Issued in SC
Practice address
945 82ND Pkwy
Myrtle Beach, SC 29572
Phone
(843) 497-5929
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21995 SC Primary

Addresses

Primary practice location

945 82ND Pkwy
Myrtle Beach, SC 29572

Mailing address

PO Box 547
Little River, SC 29566-0547
Phone (843) 663-8013

Other identifiers 1

IdentifierTypeStateIssuer
21995OtherSCSC LICENSE

Other names 1

  • Leslie Kim Kastleman Former name

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
I20180813002423 SC Practitioner - Nurse Practitioner 0143578823 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little River Medical Center IncGroup PAC ID 2961309315, shared by 7 NPIs, 38 clinicians

Practice addresses (Care Compare)

1075 Mr Joe White Ave
Unit 101
Myrtle Beach, SC 29577-5658
Phone 84366380008294

3515 Caduceus Dr
Suite B
Myrtle Beach, SC 29588-2922
Phone (843) 663-8013

3817 Main St
Loris, SC 29569-3017
Phone (843) 663-8000

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone 84366380008294

4303 Live Oak Dr
Little River, SC 29566-9138
Phone (843) 663-8000

7724 N Kings Hwy
Myrtle Beach, SC 29572-3041
Phone (843) 663-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center Inc Family CurrentSince Jun 1, 2021 Accepting new patients
Little River Medical Center, Inc. Family CurrentSince Jun 1, 2021 Accepting new patients
Little River Medical Center, Inc. Family CurrentSince Jun 1, 2021 Accepting new patients
Little River Medical Center, Inc CurrentSince Jun 1, 2021 Accepting new patients
Little River Medical Center, Inc. CurrentSince Jun 1, 2021 Accepting new patients

Locations

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

Interoperability endpoints

  • Direct secure messaging: leslie.mclamb@lrmcenter.eclinicaldirectplus.com

Organizations & group practices 6

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 3

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1528554532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295660547",
            "telephone_number": "843-663-8013",
            "fax_number": "843-663-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "843-497-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAMB",
        "first_name": "LESLIE",
        "middle_name": "FAHY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE",
            "identifier": "21995",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "KASTLEMAN",
            "middle_name": "KIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.