Active NPI
Dorothy Estelle Powell, APRN, FNP-BC
- Family Nurse Practitioner
- North Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26028
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26028 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Wellness Care, LLC | Family | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | 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.
-
- Family Nurse Practitioner
- Longs, SC
- NPI 1215861679
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.