Active NPI
Nancy Lauren Johnson, FNP
- Family Nurse Practitioner
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23349
- Practice address
- 101 McLeod Health Blvd
Myrtle Beach, SC 29579-4477 - Phone
- (843) 646-8001
- Fax
- (843) 646-8002
- NPI assigned
- Oct 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23349 | SC | Primary |
Addresses
Primary practice location
101 McLeod Health Blvd
Myrtle Beach, SC 29579-4477
Mailing address
101 McLeod Health Blvd Ste 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001
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
- Medical University of South Carolina College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2437 Willwood Dr
Florence, SC 29501-3904
Phone (843) 777-3100
800 E Cheves St
Florence, SC 29506-2649
800 E Cheves St
Florence, SC 29506-2650
800 E Cheves St
Florence, SC 29506-2652
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
- McLeod Loris Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Family | Past | Accepting new patients |
Locations
101 S Ravenel St
Ste 300
Florence, SC 29506
Phone (843) 665-4758
506 E Cheves St
#202
Florence, SC 29506
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
101 McLeod Health Blvd
Ste 201
Myrtle Beach, SC 29579
Phone (843) 646-8001
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.
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
-
- Urgent Care Clinic/Center
- Florence, SC
- NPI 1104035492
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
- Family Medicine Physician
- Dillon, SC
- NPI 1568434249
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1629611694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MCLEOD HEALTH BLVD STE 201",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794477",
"telephone_number": "843-646-8001",
"fax_number": "843-646-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MCLEOD HEALTH BLVD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794477",
"telephone_number": "843-646-8001",
"fax_number": "843-646-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "NANCY",
"middle_name": "LAUREN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "23349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.