NPIMap

Individual provider Active NPI

Laura Moores, PA-C

  • Medical Physician Assistant
  • Myrtle Beach, SC
National Provider Identifier
1922816362
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
6010 Hwy 707, Ste 100
Myrtle Beach, SC 29588-7321
Phone
(843) 293-1005
Fax
(843) 293-1006
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

6010 Hwy 707, Ste 100
Myrtle Beach, SC 29588-7321

Mailing address

300 Singleton Ridge Rd
Conway, SC 29526-9142

Other practice location 1

631 Bellamy Avenue Unit A
Murrells Inlet, SC 29576-6459
Phone (843) 651-0550

Other practice location 2

1600 Farrow Pkwy Unit B3
Myrtle Beach, SC 29577-2011
Phone (843) 839-4095

Other identifiers 1

IdentifierTypeStateIssuer
7748PAMedicaidSC

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
I20260616000276 SC Practitioner - Physician Assistant 5496227027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

182 Ella Kinley Cir
Suite 101
Myrtle Beach, SC 29588-7872

300 Singleton Ridge Rd
Conway, SC 29526-9142

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1922816362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 HWY 707, STE 100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887321",
            "telephone_number": "843-293-1005",
            "fax_number": "843-293-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Bellamy Avenue Unit A",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295766459",
            "country_code": "US",
            "telephone_number": "843-651-0550",
            "fax_number": "843-651-0564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Farrow Pkwy Unit B3",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295772011",
            "country_code": "US",
            "telephone_number": "843-839-4095",
            "fax_number": "843-839-4096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORES",
        "first_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7748PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.