NPIMap

Individual provider Active NPI

Lori Faye Wright, APRN

  • Gerontology Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1639669088
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
21835 Issued in SC
Practice address
8121 Rourk St
Myrtle Beach, SC 29572-4128
Phone
(843) 692-5000
Fax
(843) 692-5010
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21835 SC
Gerontology Nurse Practitioner 363LG0600X 21835 SC Primary

Addresses

Primary practice location

8121 Rourk St
Myrtle Beach, SC 29572-4128

Mailing address

8121 Rourk St
Myrtle Beach, SC 29572-4128
Phone (843) 692-5000

Other practice location 1

817 Farrar Dr
Conway, SC 29526-8747
Phone (843) 234-1660

Other practice location 2

4620 Highway 17
Murrells Inlet, SC 29576-5016
Phone (843) 357-7357

Other practice location 3

3008 Bayboro St
Loris, SC 29569-2714
Phone (843) 756-0932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190211000121 SC Practitioner - Nurse Practitioner 8729326111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wake Forest University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Cancer Center LLCGroup PAC ID 1456265503, 22 clinicians

Practice addresses (Care Compare)

8121 Rourk St
Myrtle Beach, SC 29572-4128
Phone (843) 692-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.12 of 100Reported as group
Promoting interoperability
91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Cancer Center LLC CurrentSince Oct 3, 2022 Accepting new patients
Coastal Cancer Center LLC CurrentSince Oct 3, 2022 Accepting new patients
SC House Calls Inc CurrentSince Oct 1, 2018 Accepting new patients
Coastal Cancer Center LLC Current Accepting new patients
Coastal Cancer Center, LLC Current Accepting new patients
Coastal Cancer Center LLC Current Accepting new patients
SC House Calls Inc CurrentSince Oct 1, 2018 Accepting new patients

Locations

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

817 Farrar Dr
Conway, SC 29526
Phone (843) 234-1660

3008 Bayboro St
Loris, SC 29569
Phone (843) 756-0932

4620 Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-7357

8121 Rourk St
Myrtle Beach, SC 29572
Phone (843) 692-5000

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Organizations & group practices 7

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1639669088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724128",
            "telephone_number": "843-692-5000",
            "fax_number": "843-692-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724128",
            "telephone_number": "843-692-5000",
            "fax_number": "843-692-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Farrar Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268747",
            "country_code": "US",
            "telephone_number": "843-234-1660",
            "fax_number": "843-234-1661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4620 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765016",
            "country_code": "US",
            "telephone_number": "843-357-7357",
            "fax_number": "843-357-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3008 Bayboro St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295692714",
            "country_code": "US",
            "telephone_number": "843-756-0932",
            "fax_number": "843-756-0508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LORI",
        "middle_name": "FAYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21835",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "21835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.