Individual provider Active NPI

Damar Dexter Uter, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1639825979
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27729 Issued in SC
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

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 7618352451, 32 clinicians
Mofdaps and CompanyGroup PAC ID 3678611720, 6 clinicians

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

LicenseStateTypeSpecialty
27729SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HHC South Carolina Inc CurrentSince Nov 20, 2023 Accepting new patients
Supportive Care of South Carolina LLC CurrentSince Dec 1, 2024 Accepting new patients
Karefirst Missouri PC CurrentSince Apr 7, 2023 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

Verify at the official NPI Registry.