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

Logan Zane Brown

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760004923

Logan Zane Brown is a Nurse Practitioner in Myrtle Beach, South Carolina. Graduated from University of South Carolina School of Medicine in 2020, 6 years ago. Practices with Grand Strand Specialty Associates, LLC, a 32-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
6
Trained at
University of South Carolina School of Medicine
Licensed in
NC, SC
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182
Phone: (843) 449-2336
Fax: (843) 497-0625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 28992 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 5013697 (NC)

Record details

NPI number1760004923
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2020
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address920 Doug White Dr Ste 460, Myrtle Beach, SC 29572-4182

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Grand Strand Specialty Associates, Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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