Active NPI
Stephanie Marie Myers, MD
- General Practice Physician
- Pawleys Island, SC
National Provider Identifier
1588909352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 27708
- Practice address
- 1272 Crooked Oak Dr
Pawleys Island, SC 29585-8076 - Phone
- (843) 237-9822
- NPI assigned
- Dec 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 27708 | SC | Primary |
Addresses
Primary practice location
1272 Crooked Oak Dr
Pawleys Island, SC 29585-8076
Mailing address
1272 Crooked Oak Dr
Pawleys Island, SC 29585-8076
Phone (843) 237-9822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27708 | SC | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1588909352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 CROOKED OAK DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295858076",
"telephone_number": "843-237-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 CROOKED OAK DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295858076",
"telephone_number": "843-237-9822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "SC",
"license": "27708",
"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 Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.