Active NPI
Meredith Michelle Lukowski, FNP
- Family Nurse Practitioner
- Little River, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22095
- Practice address
- 4303 Live Oak Dr
Little River, SC 29566-9138 - Phone
- (843) 663-8000
- Fax
- (843) 663-8123
- NPI assigned
- Jul 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22095 | SC | |
| Family Nurse Practitioner | 363LF0000X | 22095 | SC | Primary |
Addresses
Primary practice location
4303 Live Oak Dr
Little River, SC 29566-9138
Mailing address
PO Box 547
Little River, SC 29566-0547
Phone (843) 663-8000
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
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 Inc
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22095 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little River Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Walker Urgent & Family Care, LLC | Family Medicine | Current | Accepting new patients |
| Little River Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Little River Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Little River Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Little River Medical Center, Inc | Current | Accepting new patients |
Locations
4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939
1300 Highway 17
Little River, SC 29566
Phone (843) 280-8333
3817 Main St
Loris, SC 29569
Phone (843) 663-8297
4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013
3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689
7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939
Interoperability endpoints
- meredith.lukowski@lrmcenter.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Little River, SC
- NPI 1629021076
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1346638483
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1184783284
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1508120619
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Loris, SC
- NPI 1619100096
Family Medicine
-
- Family Medicine Physician
- Little River, SC
- NPI 1912102518
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1669535225
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1568949352",
"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": "843-663-8000",
"fax_number": "843-663-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 LIVE OAK DR",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295669138",
"telephone_number": "843-663-8000",
"fax_number": "843-663-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKOWSKI",
"first_name": "MEREDITH",
"middle_name": "MICHELLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "22095",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "22095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.