Individual provider Active NPI

Alicia J Foxworth, FNP-C

  • Family Nurse Practitioner
  • Pawleys Island, SC
National Provider Identifier
1578110672
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25881 Issued in SC
Practice address
139 Willbrook Blvd Unit a
Pawleys Island, SC 29585-8410
Phone
(800) 809-1265
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25881 SC Primary

Addresses

Primary practice location

139 Willbrook Blvd Unit a
Pawleys Island, SC 29585-8410

Mailing address

779 Harrelson Rd
Georgetown, SC 29440-4808
Phone (800) 809-1265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191119000591 WV Practitioner - Nurse Practitioner 0840622536 Reassigns benefits to 1 organization
I20220426002492 SC Practitioner - Nurse Practitioner 0840622536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

Practice addresses (Care Compare)

139 Willbrook Blvd
Unit a
Pawleys Island, SC 29585-6543
Phone (843) 979-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25881SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Infusion Services LLC CurrentSince Apr 3, 2023 Accepting new patients
St. Mary'S Medical Management, LLC CurrentSince Aug 26, 2019 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Apr 14, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
St. Mary'S Medical Management, LLC Family CurrentSince Aug 26, 2019 Accepting new patients

Locations

1027 Physicians Dr
Ste 220
Charleston, SC 29414
Phone (843) 553-7588

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

139 Willbrook Blvd
Unit A
Pawleys Island, SC 29585
Phone (843) 979-4100

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2900 1st Ave
Ste 10
Huntington, WV 25702
Phone (304) 525-2495

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1578110672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 HARRELSON RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294404808",
            "telephone_number": "800-809-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 WILLBROOK BLVD UNIT A",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858410",
            "telephone_number": "800-809-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXWORTH",
        "first_name": "ALICIA",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawleys Island, SC

Sources for this page

Verify at the official NPI Registry.