NPIMap

Individual provider Active NPI

Pamela Michelle Gilmore, APRN

  • Nurse Practitioner
  • Conway, SC
National Provider Identifier
1922564194
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22590 Issued in FL
Practice address
394 Singleton Ridge Rd
Conway, SC 29526-9150
Phone
(843) 347-8765
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 22590 SC
Nurse Practitioner 363L00000X 22590 FL Primary

Addresses

Primary practice location

394 Singleton Ridge Rd
Conway, SC 29526-9150

Mailing address

394 Singleton Ridge Rd
Conway, SC 29526-9150
Phone (843) 347-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190422001138 SC Practitioner - Nurse Practitioner 8921340076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auc Urologists LLCGroup PAC ID 3375986953, 29 clinicians

Practice addresses (Care Compare)

3911 Hwy 17
Murrells Inlet, SC 29576-5014
Phone (843) 347-2450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22590FLMDClinical Social Worker
22590SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Urology Clinics LLC CurrentSince Mar 4, 2019 Accepting new patients
Atlantic Urology Clinics LLC Urology CurrentSince Mar 4, 2019 Accepting new patients
Auc Urologists LLC Urology CurrentSince Jan 26, 2024 Accepting new patients

Locations

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

135 Professional Park Dr
Conway, SC 29526
Phone (843) 347-8765

1001 N Fraser St
Georgetown, SC 29440
Phone (843) 527-4447

3600 Sea Mountain Hwy
Ste D
Little River, SC 29566
Phone (843) 399-8930

3911 Highway 17
Murrells Inlt, SC 29576
Phone (843) 299-2140

309 Hinson Dr
Myrtle Beach, SC 29579
Phone (843) 236-4949

809 82nd Pkwy
Unit B
Myrtle Beach, SC 29572

101 McLeod Health Blvd
Ste 202
Myrtle Beach, SC 29579
Phone (843) 236-4949

823 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 449-1010

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1922564194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269150",
            "telephone_number": "843-347-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269150",
            "telephone_number": "843-347-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "PAMELA",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "22590",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "22590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.