PEGGY YVONNE LIVELY ARNP
NPI 1033239678
Nurse Practitioner - Family in Surfside Beach, SC

Q: What is Peggy Lively's NPI number?

The NPI number for Peggy Lively is 1033239678. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Peggy Lively's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Peggy Lively was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2007

1120 GLENNS BAY RD, SURFSIDE BEACH, SC 29575(843) 215-5492 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peggy Yvonne Lively Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEGGY YVONNE LIVELY ARNP (NPI 1033239678) is an individual family provider in Surfside Beach, South Carolina, licensed in South Carolina (3938) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1033239678

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePEGGY YVONNE LIVELYCredential: ARNP

Location Address1120 GLENNS BAY RDSurfside Beach, SC 29575-4757

Mailing Address1916 Shell CtSurfside Beach, SC 29575-4630 · (954) 895-0222

Phone(843) 215-5492

Sole ProprietorNo

Enumeration DateMarch 29, 2007

Last NPPES UpdateSeptember 12, 2013

✔ NPI 1033239678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 3938

1120 GLENNS BAY RD, Surfside Beach, SC 29575

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Other Identifiers 3

MedicaidNP1563SC

Medicare PIN1162SC

Medicare UPINAA4703SC

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PRUDENCE MELINDA OLSEN PA-C

Physician Assistant (Medical)

1120 GLENNS BAY RD
SURFSIDE BEACH, SC 29575

Horry County (843) 215-5492

ALFRED JESS TOMLINSON M.D.

Ophthalmology

1120 GLENNS BAY RD, SUITE 106
SURFSIDE BEACH, SC 29575

Horry County (843) 650-1111

SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC

Podiatrist

1120 GLENNS BAY RD, SUITE 103
SURFSIDE BEACH, SC 29575

Horry County (843) 449-8079

COASTAL PODIATRY ASSOCIATES PA

Podiatrist (Foot & Ankle Surgery)

1120 GLENNS BAY RD, SUITE 103
SURFSIDE BEACH, SC 29575

Horry County (843) 449-8079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peggy Lively's NPI number?

The NPI number for Peggy Lively is 1033239678. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Peggy Lively located?

Peggy Lively practices at 1120 Glenns Bay Rd, Surfside Beach, SC 29575. The listed phone number is (843) 215-5492.

What is Peggy Lively's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Peggy Lively was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.