Individual provider Active NPI

Cameron White

  • Speech-Language Pathologist
  • Myrtle Beach, SC
National Provider Identifier
1851887343
Registry record updated Jul 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4761 Highway 501 Ste 1
Myrtle Beach, SC 29579-9457
Phone
(843) 455-7505
NPI assigned
Jul 8, 2018
Last updated
Jul 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

4761 Highway 501 Ste 1
Myrtle Beach, SC 29579-9457

Mailing address

PO Box 1523
Little River, SC 29566-1523
Phone (843) 455-7505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621000124 SC Practitioner - Qualified Speech Language Pathologist 4688074180 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6584SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Francis Marion University CurrentSince Feb 6, 2021 Accepting new patients
Little Expressions Speech Therapy LLC Speech-Language Pathologist Current Accepting new patients
Francis Marion University Speech-Language Pathologist CurrentSince Feb 6, 2021 Accepting new patients
Therapy Consortium Inc. Speech-Language Pathologist Past Accepting new patients

Locations

201 W Evans St
Florence, SC 29501
Phone (270) 557-6396

Organizations & group practices 4

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": "1531008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531008000000",
    "number": "1851887343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295661523",
            "telephone_number": "843-455-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 HIGHWAY 501 STE 1",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295799457",
            "telephone_number": "843-455-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "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 Jul 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.