Individual provider Active NPI

Dorothy Estelle Powell, APRN, FNP-BC

  • Family Nurse Practitioner
  • North Myrtle Beach, SC
National Provider Identifier
1629712989
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26028 Issued in SC
Practice address
1019 Highway 17 S Ste 121
North Myrtle Beach, SC 29582-3702
Phone
(184) 360-5245
NPI assigned
Apr 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 26028 SC Primary

Addresses

Primary practice location

1019 Highway 17 S Ste 121
North Myrtle Beach, SC 29582-3702

Mailing address

761 Flowering Branch Ave
Little River, SC 29566-6604
Phone (843) 605-2455

Other practice location 1

2050 Corporate Centre Dr Ste 220
Myrtle Beach, SC 29577-7428
Phone (843) 945-3234

Other practice location 2

1303 38th Ave N
Myrtle Beach, SC 29577-1315
Phone (843) 497-5929

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
I20220916000364 SC Practitioner - Nurse Practitioner 4880079581 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26028SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Wellness Care, LLC Family Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 22, 2022 Accepting new patients

Locations

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

2126 Highway 9 E
Ste F2
Longs, SC 29568

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1629712989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 FLOWERING BRANCH AVE",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666604",
            "telephone_number": "843-605-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 HIGHWAY 17 S STE 121",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823702",
            "telephone_number": "184-360-5245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Corporate Centre Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295777428",
            "country_code": "US",
            "telephone_number": "843-945-3234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 38th Ave N",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771315",
            "country_code": "US",
            "telephone_number": "843-497-5929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DOROTHY",
        "middle_name": "ESTELLE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.