Active NPI
Damar Dexter Uter, FNP-C, PMHNP-BC
- Family Nurse Practitioner
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27729
- Practice address
- 1203 48TH Ave N Ste 202
Myrtle Beach, SC 29577-5425 - Phone
- (843) 449-2576
- NPI assigned
- Feb 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 27729 | SC | |
| Family Nurse Practitioner | 363LF0000X | 27729 | SC | Primary |
| Family Nurse Practitioner | 363LF0000X | 2022004331 | MO |
Addresses
Primary practice location
1203 48TH Ave N Ste 202
Myrtle Beach, SC 29577-5425
Mailing address
1203 48TH Ave N Ste 202
Myrtle Beach, SC 29577-5425
Phone (843) 449-2576
Other practice location 1
152 Waccamaw Medical Park Dr
Conway, SC 29526-8901
Phone (843) 347-8871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230419000709 | MO | Practitioner - Nurse Practitioner | 2466827720 | Reassigns benefits to 1 organization |
| I20240228000787 | SC | Practitioner - Nurse Practitioner | 2466827720 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Supportive Care of South Carolina LLCMofdaps and Company
Practice addresses (Care Compare)
101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Phone (718) 298-4375
1203 48TH Ave N
Suite 202
Myrtle Beach, SC 29577-5425
Phone (843) 449-2576
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27729 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HHC South Carolina Inc | Current | Accepting new patients | |
| Supportive Care of South Carolina LLC | Current | Accepting new patients | |
| Karefirst Missouri PC | Current | Accepting new patients |
Locations
1501 Charbonier Rd
Florissant, MO 63031
Phone (314) 921-2700
936 Charbonier Rd
Florissant, MO 63031
Phone (314) 831-4800
13230 Manchester Rd
Saint Louis, MO 63131
Phone (314) 480-5259
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
152 Waccamaw Medical Park Dr
Conway, SC 29526
Phone (843) 347-8871
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1639825979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 48TH AVE N STE 202",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775425",
"telephone_number": "843-449-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 48TH AVE N STE 202",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775425",
"telephone_number": "843-449-2576"
}
],
"practiceLocations": [
{
"address_1": "152 Waccamaw Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295268901",
"country_code": "US",
"telephone_number": "843-347-8871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UTER",
"first_name": "DAMAR DEXTER",
"credential": "FNP-C, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-24",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "27729",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "27729",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2022004331",
"primary": false
}
],
"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 Dec 5, 2025; 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.