Individual provider Active NPI

Paige Thomas, NP

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1710848924
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31175 Issued in SC
Practice address
1303 38TH Ave N
Myrtle Beach, SC 29577-1315
Phone
(804) 380-6171
NPI assigned
Nov 19, 2025
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31175 SC Primary

Addresses

Primary practice location

1303 38TH Ave N
Myrtle Beach, SC 29577-1315

Mailing address

1303 38TH Ave N
Myrtle Beach, SC 29577-1315
Phone (804) 380-6171

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260206000601 SC Practitioner - Nurse Practitioner 0446739882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic South Carolina LLCGroup PAC ID 8527126861, 113 clinicians

Practice addresses (Care Compare)

1303 38TH Ave N
Myrtle Beach, SC 29577-1315
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31175SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic South Carolina LLC Single Specialty CurrentSince Jan 28, 2026 Accepting new patients
Minuteclinic Primary Care South Carolina LLC Single Specialty CurrentSince Jan 28, 2026 Accepting new patients

Locations

1303 38th Ave N
Myrtle Beach, SC 29577
Phone (843) 445-1697

8995 University Blvd
North Charleston, SC 29406
Phone (843) 410-0701

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 360-8112

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1710848924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 38TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771315",
            "telephone_number": "804-380-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 38TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771315",
            "telephone_number": "804-380-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PAIGE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "31175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.