NIKIYA SHANTA EVANS LPN
NPI 1639893498
Nurse Practitioner - Family in Myrtle Beach, SC
About Nikiya Shanta Evans Lpn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKIYA SHANTA EVANS LPN (NPI 1639893498) is an individual family provider in Myrtle Beach, South Carolina, licensed in South Carolina (F12250286) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Nikiya Shanta Evans Lpn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29579 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MYRTLE BEACH, SC 29579
MYRTLE BEACH, SC 29579
MYRTLE BEACH, SC 29579
MYRTLE BEACH, SC 29579
MYRTLE BEACH, SC 29579
MYRTLE BEACH, SC 29579
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 Nikiya Evans's NPI number?
The NPI number for Nikiya Evans is 1639893498. It was assigned to this individual provider in the NPPES registry on September 26, 2022.
Where is Nikiya Evans located?
Nikiya Evans practices at 104 George Bishop Pkwy, Myrtle Beach, SC 29579. The listed phone number is (800) 805-6989.
What is Nikiya Evans's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nikiya Evans enrolled in Medicare?
Yes. Nikiya Evans 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.
When was this NPI record last updated?
The NPPES record for Nikiya Evans was last updated on December 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Nikiya Shanta Evans, LPN · NPI 1639893498
Family physician in Myrtle Beach, South Carolina. Individual provider, active in the CMS NPPES registry since September 26, 2022.
## Identity
- **NPI:** 1639893498 (Entity type: Individual)
- **Enumerated:** September 26, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F12250286 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 104 GEORGE BISHOP PKWY, Myrtle Beach, SC 29579-7335
- **Phone:** (800) 805-6989
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639893498) · Data from the CMS NPPES public registry.