Stacey Elizabeth Myrick, APRN, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

20920 Issued in SC

Practice address

21 Star Rd
Edgefield, SC 29824-4209

Phone

(803) 507-0696

NPI assigned

Sep 3, 2016

Sex

Female

Sole proprietor

Yes

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.

• State of South Carolina

  • Public Health or Welfare Agency
  • Edgefield, SC
  • NPI 1619051893
  NPD
• State of South Carolina Comptroller General

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

• Mrs. Stacey Elizabeth Gaunce Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2025.

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1780131037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NEW HOLLAND RD",
            "city": "WAGENER",
            "state": "SC",
            "postal_code": "291649483",
            "telephone_number": "803-845-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 STAR RD",
            "city": "EDGEFIELD",
            "state": "SC",
            "postal_code": "298244209",
            "telephone_number": "803-507-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "STACEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-03",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SC",
            "license": "20920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "GAUNCE",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Meehan Marshall Jr., R.PH.
• Tami Y Massey, M.D.
• Keith Matthews, R.PH.
• Elizabeth Rose McNeal, PHARMD
• Christina Covar Mullins, DMD
• Ohio Valley Physicians Inc
• Sherry Leigh Paschal, CPSS
• Elizabeth Posey, RN
• George L Rainsford, M.D.
• Patricia Rainsford, RN

• All providers in Edgefield, SC
• Women's Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.