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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALYSSA SIMPSON
NPI 1114874906
Physician Assistant - Medical in Myrtle Beach, SC

Active since March 12, 2026PECOS Enrolled
1100 62ND AVE N STE A, MYRTLE BEACH, SC 29572(843) 839-0957 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 14, 2026, Mar 12, 2026 (2 updates tracked since 2026).

About Alyssa Simpson NPPES

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

ALYSSA SIMPSON (NPI 1114874906) is an individual medical provider in Myrtle Beach, South Carolina, licensed in South Carolina (6396) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1114874906
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALYSSA SIMPSON
Location Address1100 62ND AVE N STE AMyrtle Beach, SC 29572-7202
Mailing Address300 Singleton Ridge RdConway, SC 29526-9142 · (843) 347-7111
Phone(843) 839-0957
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 12, 2026
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1114874906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · 6396
1100 62ND AVE N STE A, Myrtle Beach, SC 29572
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1300 Singleton Ridge RdConway, SC 29526-9142 · Phone (843) 347-7111
Location 25010 Carolina Forest BlvdMyrtle Beach, SC 29579-3579 · Phone (843) 236-2700
Location 34237 River Hills Dr Ste 130Little River, SC 29566-6444 · Phone (843) 234-8675

Other Identifiers 1

Medicaid7876PASC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Simpson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496212276
PECOS Enrollment IDI20260812000406
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Alyssa Simpson's NPI number?

The NPI number for Alyssa Simpson is 1114874906. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Alyssa Simpson located?

Alyssa Simpson practices at 1100 62nd Ave N Ste A, Myrtle Beach, SC 29572. The listed phone number is (843) 839-0957.

What is Alyssa Simpson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alyssa Simpson enrolled in Medicare?

Yes. Alyssa Simpson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Simpson was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.