Individual provider Active NPI

Maureen Lisa Thomas

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1780279661
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24651 Issued in SC
Practice address
1303 38TH Ave N
Myrtle Beach, SC 29577-1315
Phone
(866) 389-2727
NPI assigned
Mar 3, 2021
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 24651 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 (866) 389-2727

Other names 1

  • Maureen Lisa Scott Former name

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
I20210416001629 SC Practitioner - Nurse Practitioner 2466860119 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
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)

10317 Ocean Hwy
Pawleys Island, SC 29585-6520
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24651SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Video Virtual Care, PLLC Family Medicine CurrentSince Mar 5, 2024 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Jul 15, 2021 Accepting new patients
Minuteclinic Primary Care South Carolina LLC Family CurrentSince Sep 17, 2025 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

10317 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 235-0267

10317 Ocean Hwy
#17S
Pawleys Island, SC 29585
Phone (803) 237-4036

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

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1780279661",
    "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": "866-389-2727"
        },
        {
            "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": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MAUREEN",
        "middle_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "SCOTT",
            "middle_name": "LISA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.