Active NPI
Alexis Renee McMillan
- Speech-Language Pathologist
- Myrtle Beach, SC
National Provider Identifier
1972014082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6381
- Practice address
- 4401 N Ocean Blvd
Myrtle Beach, SC 29577-2747 - Phone
- (937) 638-9550
- NPI assigned
- Oct 16, 2017
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6381 | SC | Primary |
Addresses
Primary practice location
4401 N Ocean Blvd
Myrtle Beach, SC 29577-2747
Mailing address
4401 N Ocean Blvd
Myrtle Beach, SC 29577-2747
Phone (937) 638-9550
Other practice location 1
101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Phone (843) 236-3579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6381 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Speech Therapy and Consulting LLC | Speech-Language Pathologist | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Murrells Inlet, SC
- NPI 1245748086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1972014082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 N OCEAN BLVD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295772747",
"telephone_number": "937-638-9550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 N OCEAN BLVD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295772747",
"telephone_number": "937-638-9550"
}
],
"practiceLocations": [
{
"address_1": "101 Brightwater Dr",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295798275",
"country_code": "US",
"telephone_number": "843-236-3579",
"fax_number": "843-236-4131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLAN",
"first_name": "ALEXIS",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-16",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "6381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
- McLeod Regional Medical Center of the Pee Dee, Inc
- McLeod Regional Medical Center of the Pee Dee, Inc
- McLeod Regional Medical Center of the Pee Dee, Inc
- Pierce McMahon, MD
- Kathleen McManis
- Zachary William McMillan, DMD
- Daniel M McNabb, MD
- Geana Aneice McNeal, LMSW
- Marlee Claire McPherson
- Kathryn Renee McZeke, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.