Megan Elvis Haselden, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MPA.1931 TL Issued in SC

Practice address

4301 Dick Pond Rd
Myrtle Beach, SC 29588-6807

Phone

(843) 652-8100

Fax

(843) 652-8122

NPI assigned

May 20, 2013

Last updated

Feb 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Megan Elizabeth Elvis Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Conway Hospital Emergency Professional Services

  • Emergency Medicine Physician
  • Conway, SC
  • NPI 1487844510
  Medicare reassignment
• Southern Urgent Care Murrell's Inlet LLC

  • Urgent Care Clinic/Center
  • Murrells Inlet, SC
  • NPI 1235474727
  Medicare reassignment

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1659717452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 MARY LOU AVE",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295766146",
            "telephone_number": "843-241-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 DICK POND RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886807",
            "telephone_number": "843-652-8100",
            "fax_number": "843-652-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELDEN",
        "first_name": "MEGAN",
        "middle_name": "ELVIS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA.1931 TL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "ELVIS",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janice L Hart, DO
• Jennifer Hart
• Latisha Hart
• Allison Hartman, DPT
• Rachel Kelly Harvey, SLP
• Rachel Hasty
• Sean Patrick Hatfield
• Dennis Haugen, AA-C
• Nicole Lynn Haunroth, LPC
• Kimberly Ann Hayes

• Physician Assistant in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.

Verify at the official NPI Registry.