MRS. JESSAMYN THACKRAY ACNPC-AG
NPI 1639884299
Nurse Practitioner - Acute Care in Murrells Inlet, SC

Q: What is Jessamyn Thackray's NPI number?

The NPI number for Jessamyn Thackray is 1639884299. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Q: What is Jessamyn Thackray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jessamyn Thackray was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since January 18, 2023PECOS EnrolledAccepts Medicare Assignment

4057 HIGHWAY 17, MURRELLS INLET, SC 29576(843) 652-4800(843) 357-4783 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2024, Jan 18, 2023 (2 updates tracked since 2023).

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About Mrs. Jessamyn Thackray Acnpc-ag NPPES

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

MRS. JESSAMYN THACKRAY ACNPC-AG (NPI 1639884299) is an individual acute care provider in Murrells Inlet, South Carolina, licensed in South Carolina (21986) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Tidelands Georgetown Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639884299

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. JESSAMYN THACKRAYCredential: ACNPC-AG

Location Address4057 HIGHWAY 17Murrells Inlet, SC 29576-5032

Mailing AddressPo Box 280Murrells Inlet, SC 29576-0280 · (843) 652-4800 · Fax (843) 357-4783

Phone(843) 652-4800

Fax(843) 357-4783

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 18, 2023

Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration

NPPES CertifiedOctober 21, 2025

✔ NPI 1639884299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in SC · 21986

4057 HIGHWAY 17, Murrells Inlet, SC 29576

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessamyn Thackray Acnpc-ag 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 ID4183089451

PECOS Enrollment IDI20230421000183

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420020

Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County

Emergency services

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420098

Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29576 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 7

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

INLET CARDIOPULMONARY & ASSOCIATES, PA

Internal Medicine (Cardiovascular Disease)