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ALEXANDER JOHN DESMOND
NPI 1205722436
Nurse Practitioner - Family in Myrtle Beach, SC

Active since June 16, 2025PECOS EnrolledAccepts Medicare Assignment
809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 629-1000 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2026, Jun 16, 2025 (2 updates tracked since 2025).

About Alexander John Desmond NPPES

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

ALEXANDER JOHN DESMOND (NPI 1205722436) is an individual family provider in Myrtle Beach, South Carolina, licensed in South Carolina (31763) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205722436
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameALEXANDER JOHN DESMOND
Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607
Mailing Address137 Viareggio RdMyrtle Beach, SC 29579-8430 · (724) 581-3645
Phone(843) 629-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 16, 2025
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1205722436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 31763
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 256733 (SC)
809 82ND PKWY, Myrtle Beach, SC 29572
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexander John Desmond is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688145592
PECOS Enrollment IDI20260602000984
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alexander Desmond reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acs Primary Care Physicians - Southeast PC
Same address
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 559 clinicians in this Medicare group
NPI 1861430555 (843) 692-1000
Southeastern Hospitalist Services PC
Same address
Hospitalist
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 529 clinicians in this Medicare group
NPI 1003280108 (843) 692-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

SOUTHEASTERN HOSPITALIST SERVICES PC
Hospitalist
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
BENJAMIN TYLER MCKINNEY MD
Emergency Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
MRS. ANGELA KATHLINE NAPLES APRN FNP-C
Nurse Practitioner
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
ALBAB SYED UDDIN
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (854) 894-3509
RAINECE J EADDY MD
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-8340
MS. POOJA M PATEL
Internal Medicine (Medical Oncology)
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1118
VISHAL SHAH DO
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1118
ZACHERY WILLIAM HENSEL DO
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1595

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 Alexander Desmond's NPI number?

The NPI number for Alexander Desmond is 1205722436. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Alexander Desmond located?

Alexander Desmond practices at 809 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 629-1000.

What is Alexander Desmond's specialty?

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

Is Alexander Desmond enrolled in Medicare?

Yes. Alexander Desmond is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alexander Desmond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Desmond reassigns Medicare benefits to 2 organizations: Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC) and Southeastern Hospitalist Services PC (Myrtle Beach, SC). Each 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 Alexander Desmond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexander Desmond was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.