Individual provider Active NPI

Alyssa Marie McElwany, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1679915532
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28740 Issued in SC
Practice address
608 16TH Ave N Ste G
Myrtle Beach, SC 29577-3537
Phone
(843) 501-1099
Fax
(843) 405-2040
NPI assigned
Jul 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 28740 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP127891 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2277632 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28740 SC Primary

Addresses

Primary practice location

608 16TH Ave N Ste G
Myrtle Beach, SC 29577-3537

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (843) 501-1099

Other practice location 1

1934 Caroline St
Houston, TX 77002-8210
Phone (713) 286-6050

Other practice location 2

1934 Caroline St
Houston, TX 77002-8210
Phone (713) 286-6028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20150912000136 TX Practitioner - Nurse Practitioner 8921242538 Reassigns benefits to 1 organization
I20241126003306 SC Practitioner - Nurse Practitioner 8921242538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

608 16TH Ave N
Suite G
Myrtle Beach, SC 29577-3537
Phone (843) 501-1099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2277632MAMDPsychiatric/Mental Health Nurse Practitioner
28740SCMDPsychiatric/Mental Health Nurse Practitioner
AP127891TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athi P Venkatesh MD PA CurrentSince Aug 19, 2016 Accepting new patients
River Region Psychiatry Associates LLC CurrentSince Mar 1, 2025 Accepting new patients
Myrtle Beach Counseling Center CurrentSince Aug 6, 2019 Accepting new patients
Charleston Counseling Center PC CurrentSince Oct 21, 2024 Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1211 Roberts St
Camden, SC 29020
Phone (330) 949-7420

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

608 16th Ave N
Ste G
Myrtle Beach, SC 29577
Phone (843) 823-5132

19701 Kingwood Dr
Bldg 3
Kingwood, TX 77339
Phone (281) 358-5701

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.alyssamcelwany@149035.advancedmd-direct.com

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": "1374278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1679915532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "843-501-1099",
            "fax_number": "843-405-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 16TH AVE N STE G",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773537",
            "telephone_number": "843-501-1099",
            "fax_number": "843-405-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1934 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770028210",
            "country_code": "US",
            "telephone_number": "713-286-6050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1934 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770028210",
            "country_code": "US",
            "telephone_number": "713-286-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCELWANY",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-20",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "SC",
            "license": "28740",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP127891",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2277632",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "28740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.