STATES OF WELLBEING
NPI 1053285643
Family Medicine in Myrtle Beach, SC

Active since October 06, 2025
176 VILLAGE CENTER BLVD, MYRTLE BEACH, SC 29579(304) 482-4826(843) 484-3831 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2025, Oct 6, 2025 (2 updates tracked since 2025).

About States Of Wellbeing NPPES

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

STATES OF WELLBEING (NPI 1053285643) is a healthcare organization registered as a family medicine in Myrtle Beach, South Carolina and active in the NPI registry since October 2025. The organization lists Lindsey States, Owner, as its authorized official.

NPPES Registry Identity

NPI1053285643
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTATES OF WELLBEING
Location Address176 VILLAGE CENTER BLVDMyrtle Beach, SC 29579-5622
Mailing Address810 Carolina Farms BlvdMyrtle Beach, SC 29579-3568 · (843) 633-2266 · Fax (843) 484-3831
Fax(843) 484-3831
Organization SubpartNo
Authorized OfficialLindsey StatesOwner · (843) 633-2266
Enumeration DateOctober 6, 2025
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1053285643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
176 VILLAGE CENTER BLVD, Myrtle Beach, SC 29579

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

States Of Wellbeing is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to States Of Wellbeing, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1457668386
200 MIDDLEBURG DR
Myrtle Beach, SC 29579
(843) 903-6650
✔ PECOS✔ Accepts Medicare5.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 States Of Wellbeing's NPI number?

The NPI number for States Of Wellbeing is 1053285643. It was assigned to this organization in the NPPES registry on October 6, 2025.

Where is States Of Wellbeing located?

States Of Wellbeing is located at 176 Village Center Blvd, Myrtle Beach, SC 29579. The listed phone number is (304) 482-4826.

What is States Of Wellbeing's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is States Of Wellbeing enrolled in Medicare?

Yes. States Of Wellbeing is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through States Of Wellbeing?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to States Of Wellbeing. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does States Of Wellbeing accept?

Health plans from Molina Healthcare list States Of Wellbeing as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for States Of Wellbeing was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.