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

Individual provider Family Nurse Practitioner · NPI 1205428893

Mr. Nicholas Hagandora, FNP is a Nurse Practitioner in Conway, South Carolina. Qualified in 2020, 6 years ago. Practices with Conway Hospital Inc, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2021
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

2376 Cypress Cir Ste 102
Conway, SC 29526-8964
Phone: (843) 347-8953
Fax: (843) 347-0226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6010 Highway 707 Ste 200, Myrtle Beach, SC 29588-7321 — (843) 347-8953

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 24654 (SC)

Record details

NPI number1205428893
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 5, 2021
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

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 Conway Hospital Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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