Individual provider Active NPI

Melissa Jo-Ann Cupid, M.D

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1982809133
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021652 Issued in SC
Practice address
3236 Holmestown Rd Unit E1
Myrtle Beach, SC 29588-7495
Phone
(843) 663-8000
Fax
(843) 663-8166
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200301427 NC
Family Medicine Physician 207Q00000X 2021652 SC Primary

Addresses

Primary practice location

3236 Holmestown Rd Unit E1
Myrtle Beach, SC 29588-7495

Mailing address

PO Box 547
Little River, SC 29566-0547
Phone (843) 663-8013

Other practice location 1

4303 Live Oak Dr
Little River, SC 29566-9138
Phone (843) 663-8013

Other practice location 2

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone (843) 663-8000

Other practice location 3

3817 Main St
Loris, SC 29569-3017
Phone (843) 663-8000

Other practice location 4

7724 N Kings Hwy
Myrtle Beach, SC 29572-3041
Phone (843) 663-8000

Other practice location 5

1075 MR Joe White Ave Unit 101
Myrtle Beach, SC 29577-5658
Phone (843) 663-8000

Other identifiers 2

IdentifierTypeStateIssuer
5902508MedicaidNC
216527MedicaidSC

Other names 1

  • Omalari Rudju Cupid Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110002955 SC Practitioner - Family Practice 2062428436 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little River Medical Center IncGroup PAC ID 2961309315, shared by 7 NPIs, 38 clinicians

Practice addresses (Care Compare)

1075 Mr Joe White Ave
Unit 101
Myrtle Beach, SC 29577-5658
Phone 84366380008294

3236 Holmestown Rd
Myrtle Beach, SC 29588-7495
Phone (843) 663-8013

3515 Caduceus Dr
Suite B
Myrtle Beach, SC 29588-2922
Phone (843) 663-8013

3817 Main St
Loris, SC 29569-3017
Phone (843) 663-8000

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone 84366380008294

4303 Live Oak Dr
Little River, SC 29566-9138
Phone (843) 663-8000

7724 N Kings Hwy
Myrtle Beach, SC 29572-3041
Phone (843) 663-8000

Hospital & facility affiliations

  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2021652SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. Family Medicine CurrentSince Sep 23, 2024 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Sep 23, 2024 Accepting new patients
Little River Medical Center, Inc CurrentSince Sep 23, 2024 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Sep 23, 2024 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Sep 23, 2024 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Sep 23, 2024 Accepting new patients
Little River Medical Center Inc Family Medicine CurrentSince Sep 23, 2024 Accepting new patients
Liem & Lim Associates PC Past Accepting new patients
Integrated Healthcare Innovation Inc. PastSince Apr 17, 2022 Accepting new patients

Locations

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

3236 Holmestown Rd
Unit E1
Myrtle Beach, SC 29588

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1982809133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295660547",
            "telephone_number": "843-663-8013",
            "fax_number": "843-663-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 HOLMESTOWN RD UNIT E1",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887495",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4303 Live Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "295669138",
            "country_code": "US",
            "telephone_number": "843-663-8013",
            "fax_number": "843-663-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4220 Carolina Exchange Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295794220",
            "country_code": "US",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3817 Main St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295693017",
            "country_code": "US",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7724 N Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295723041",
            "country_code": "US",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 MR Joe White Ave Unit 101",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295775658",
            "country_code": "US",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUPID",
        "first_name": "MELISSA",
        "middle_name": "JO-ANN",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200301427",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "2021652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902508",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216527",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMALARI",
            "last_name": "CUPID",
            "middle_name": "RUDJU",
            "credential": "OFFICE MANAGER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.