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

Maureen Lisa Thomas

Individual provider Family Nurse Practitioner · NPI 1780279661

Maureen Lisa Thomas is a Nurse Practitioner in Myrtle Beach, South Carolina. Qualified in 2020, 6 years ago. Practices with Minuteclinic Diagnostic South Carolina LLC, a 110-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2021
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Practice location Address checks out

1303 38th Ave N
Myrtle Beach, SC 29577-1315
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 24651 (SC)

Record details

NPI number1780279661
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2021
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Minuteclinic Diagnostic South Carolina Llc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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