Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael P Gambacorta, FNP

Individual provider Nurse Practitioner · NPI 1851393920

Dr. Michael P Gambacorta, FNP is a Nurse Practitioner in Myrtle Beach, South Carolina. Qualified in 2024, 2 years ago. Accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2005
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

100 Legends Rd Ste A
Myrtle Beach, SC 29579-7076
Phone: (843) 236-9090
Fax: (843) 236-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 28968 (SC)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 28968 (SC)

Record details

NPI number1851393920
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 2, 2005
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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