Active NPI
Tiffany McCaskill, NURSE PRACTITIONER
- Family Nurse Practitioner
- Myrtle Beach, SC
National Provider Identifier
1831824739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26347
- Practice address
- 4736 Highway 17 Byp S
Myrtle Beach, SC 29588-5616 - Phone
- (843) 213-2039
- NPI assigned
- Jul 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26347 | SC | Primary |
Addresses
Primary practice location
4736 Highway 17 Byp S
Myrtle Beach, SC 29588-5616
Mailing address
112 Sparks Dr
Forest City, NC 28043-9021
Phone (828) 351-6000
Other practice location 1
2 Hampstead Pl
Greer, SC 29650-3659
Phone (828) 351-6000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Biologics LLC | Current | Accepting new patients | |
| Old Mission Wound Care South Carolina LLC | Current | Accepting new patients | |
| Regional Healthcare Group LLC | Current | Accepting new patients | |
| Rebirth Advanced Healing LLC | Current | Accepting new patients | |
| McLeod Regional Medical Center of Pee Dee Inc | Past | Accepting new patients | |
| McLeod Occupational Health, LLC | Past | Accepting new patients |
Locations
700 Nexton Square Dr
Ste 138
Summerville, SC 29486
207 E Main St
Ste 3A2
Johnson City, TN 37604
Phone (833) 870-0904
225 Matlage Way
Unit 31
Sugar Land, TX 77487
Organizations & group practices 7
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.
-
- Specialist
- Johnson City, TN
- NPI 1174390413
-
- Occupational Medicine Physician
- Florence, SC
- NPI 1902437247
-
- Occupational Medicine Physician
- Florence, SC
- NPI 1871127803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1831824739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 SPARKS DR",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280439021",
"telephone_number": "828-351-6000",
"fax_number": "828-287-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4736 HIGHWAY 17 BYP S",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295885616",
"telephone_number": "843-213-2039"
}
],
"practiceLocations": [
{
"address_1": "2 Hampstead Pl",
"address_purpose": "LOCATION",
"city": "Greer",
"state": "SC",
"postal_code": "296503659",
"country_code": "US",
"telephone_number": "828-351-6000",
"fax_number": "828-287-7436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCASKILL",
"first_name": "TIFFANY",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-24",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "26347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.