Individual provider Active NPI

Tiffany McCaskill, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1831824739
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26347 Issued in SC
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

Updated by the provider on May 27, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011002319 SC Practitioner - Nurse Practitioner 3971979287 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Biologics LLC CurrentSince Apr 1, 2024 Accepting new patients
Old Mission Wound Care South Carolina LLC CurrentSince Jun 29, 2024 Accepting new patients
Regional Healthcare Group LLC CurrentSince Sep 24, 2024 Accepting new patients
Rebirth Advanced Healing LLC CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.