Angelic Primary Medicine of Sc, LLC
NPI 1730752015 · Primary Care Nurse Practitioner · Myrtle Beach, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Angelic Primary Medicine of Sc, LLC is a Primary Care Nurse Practitioner organization in Myrtle Beach, SC (NPI 1730752015).
Provider details
- NPI number
- 1730752015
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Janet Gibson, Owner(609) 464-1135
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-07-23
- Last updated
- 2025-06-26
- Certified
- 2025-06-26
Frequently asked questions
- What is Angelic Primary Medicine of Sc, LLC's NPI number?
- Angelic Primary Medicine of Sc, LLC's National Provider Identifier (NPI) is 1730752015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Angelic Primary Medicine of Sc, LLC?
- Angelic Primary Medicine of Sc, LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Angelic Primary Medicine of Sc, LLC located?
- Angelic Primary Medicine of Sc, LLC's practice location on file with NPPES is 4728 Jenn Dr Ste 102, Myrtle Beach, SC 29577-5714.
- What is Angelic Primary Medicine of Sc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Angelic Primary Medicine of Sc, LLC is (609) 464-1135.
- Does Angelic Primary Medicine of Sc, LLC accept Medicare?
- Angelic Primary Medicine of Sc, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Angelic Primary Medicine of Sc, LLC?
- The authorized official listed on Angelic Primary Medicine of Sc, LLC's NPPES record is Janet Gibson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Angelic Primary Medicine of Sc, LLC's NPI active?
- Yes — Angelic Primary Medicine of Sc, LLC's NPI (1730752015) is active in the NPPES registry as of the last update on 2025-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.