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NICKERIA FEARON
NPI 1114892114
Psychologist - Intellectual and Developmental Disabilities in Myrtle Beach, SC

Active since October 08, 2025
4320 FALLS OAKS ST, MYRTLE BEACH, SC 29579(954) 305-3646 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nickeria Fearon NPPES

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

NICKERIA FEARON (NPI 1114892114) is an individual intellectual and developmental disabilities provider in Myrtle Beach, South Carolina and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1114892114
Entity TypeIndividualFemale
Primary Taxonomy103TM1800X
Provider Legal NameNICKERIA FEARON
Location Address4320 FALLS OAKS STMyrtle Beach, SC 29579-4684
Mailing Address4320 Falls Oaks StMyrtle Beach, SC 29579-4684 · (954) 305-3646
Phone(954) 305-3646
Sole ProprietorYes
Enumeration DateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1114892114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
4320 FALLS OAKS ST, Myrtle Beach, SC 29579
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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 Nickeria Fearon's NPI number?

The NPI number for Nickeria Fearon is 1114892114. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Nickeria Fearon located?

Nickeria Fearon practices at 4320 Falls Oaks St, Myrtle Beach, SC 29579. The listed phone number is (954) 305-3646.

What is Nickeria Fearon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Nickeria Fearon was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.