Individual provider Active NPI

Savannah Thames, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Myrtle Beach, SC
National Provider Identifier
1740997956
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26743 Issued in SC
Practice address
1016 2ND Ave N Ste 205
North Myrtle Beach, SC 29582-3288
Phone
(843) 491-3344
NPI assigned
Oct 28, 2022
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26743 SC Primary

Addresses

Primary practice location

1016 2ND Ave N Ste 205
North Myrtle Beach, SC 29582-3288

Mailing address

1016 2ND Ave N Ste 205
North Myrtle Beach, SC 29582-3288
Phone (843) 491-3344

Other identifiers 1

IdentifierTypeStateIssuer
26743OtherSCSC APRN LICENSE

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
I20221222002647 SC Practitioner - Nurse Practitioner 8123498748 Reassigns benefits to 2 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
Independent Mental Health Solutions LLCGroup PAC ID 9133669062, 6 clinicians

Practice addresses (Care Compare)

1016 2ND Ave N
Suite 205
North Myrtle Beach, SC 29582-3288
Phone (843) 491-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Mental Health Solutions LLC Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Robin H Starr Single Specialty PastSince Oct 20, 2019 Accepting new patients

Locations

1016 2nd Ave N
Ste 205
North Myrtle Beach, SC 29582
Phone (843) 472-8334

Organizations & group practices 3

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": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1740997956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 205",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823288",
            "telephone_number": "843-491-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 205",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823288",
            "telephone_number": "843-491-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMES",
        "first_name": "SAVANNAH",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "26743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC APRN LICENSE",
            "identifier": "26743",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.