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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KEVAN FEGELY
NPI 1891616884
General Practice in Myrtle Beach, SC

Active since July 24, 2026
3874 RENEE DR UNIT D, MYRTLE BEACH, SC 29579(843) 903-4500(843) 903-4505 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevan Fegely NPPES

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

KEVAN FEGELY (NPI 1891616884) is an individual general practice provider in Myrtle Beach, South Carolina, licensed in South Carolina (245720) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1891616884
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameKEVAN FEGELY
Location Address3874 RENEE DR UNIT DMyrtle Beach, SC 29579-4358
Mailing Address3874 Renee Dr Unit DMyrtle Beach, SC 29579-4358 · (843) 903-4500 · Fax (843) 903-4505
Phone(843) 903-4500
Fax(843) 903-4505
Sole ProprietorNo
Enumeration DateJuly 24, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1891616884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in SC · 245720
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3874 RENEE DR UNIT D, Myrtle Beach, SC 29579
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Other Providers at the Same Location NPPES

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

MS. JESSICA GRACE SMITH CHASSE FNP-C
Nurse Practitioner (Family)
3874 RENEE DR UNIT D
MYRTLE BEACH, SC 29579
Horry County (843) 903-4500

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 Kevan Fegely's NPI number?

The NPI number for Kevan Fegely is 1891616884. It was assigned to this individual provider in the NPPES registry on July 24, 2026.

Where is Kevan Fegely located?

Kevan Fegely practices at 3874 Renee Dr Unit D, Myrtle Beach, SC 29579. The listed phone number is (843) 903-4500.

What is Kevan Fegely's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kevan Fegely was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.