Individual provider Active NPI

Dayna Chinners Wilder, APRN

  • Nurse Practitioner
  • Georgetown, SC
National Provider Identifier
1558831925
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG1018003522396 Issued in SC
Practice address
606 Black River Rd
Georgetown, SC 29440-3304
Phone
(843) 545-5927
Fax
(843) 520-4780
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 AG1018003522396 SC Primary

Addresses

Primary practice location

606 Black River Rd
Georgetown, SC 29440-3304

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

2200 Crow Ln Ste 202
Myrtle Beach, SC 29577-1663
Phone (843) 545-5927

Other practice location 2

4040 Highway 17 Unit 206
Murrells Inlet, SC 29576-5098
Phone (843) 652-8260

Other identifiers 1

IdentifierTypeStateIssuer
NP5749MedicaidSC

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address dwilder354446@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address dwilder354446@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address dwilder354446@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address dwilder354446@direct.musc.edu Direct Georgetown Physician Associates, LLC

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
I20190313002148 SC Practitioner - Nurse Practitioner 3476893256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgetown Physician Associates, LLCGroup PAC ID 2365697398, 221 clinicians

Practice addresses (Care Compare)

2200 Crow LN
Myrtle Beach, SC 29577-1663

2347 S Hwy 17
Murrells Inlet, SC 29576-7611
Phone (843) 357-2443

4040 Hwy 17
Murrells Inlet, SC 29576-5098

606 Black River Rd
Georgetown, SC 29440-3304

Hospital & facility affiliations

  • 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

State licenses

LicenseStateTypeSpecialty
AG1018003522396SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC Family Medicine CurrentSince Jan 8, 2019 Accepting new patients
Georgetown Physician Associates, LLC Family Medicine Current Accepting new patients
Georgetown Physician Associates LLC Family Medicine CurrentSince Jan 8, 2019 Accepting new patients
Georgetown Physician Services, LLC Family Medicine Past Accepting new patients

Locations

606 Black River Rd
Ste 101
Georgetown, SC 29440
Phone (843) 545-5927

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

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

4040 Highway 17
Unit 206
Murrells Inlt, SC 29576
Phone (843) 652-1100

2200 Crow Ln
Ste 202
Myrtle Beach, SC 29577
Phone (843) 545-5927

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

Interoperability endpoints

  • Direct secure messaging: dwilder354446@direct.musc.edu

Organizations & group practices 4

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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1558831925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BLACK RIVER RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403304",
            "telephone_number": "843-545-5927",
            "fax_number": "843-520-4780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Crow Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-545-5927",
            "fax_number": "843-520-4780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4040 Highway 17 Unit 206",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765098",
            "country_code": "US",
            "telephone_number": "843-652-8260",
            "fax_number": "843-652-8269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER",
        "first_name": "DAYNA",
        "middle_name": "CHINNERS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "AG1018003522396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5749",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwilder354446@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwilder354446@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4040 Highway 17 Unit 206",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwilder354446@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln Ste 202",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwilder354446@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12117 Ocean Hwy",
            "city": "Pawleys Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295857941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.