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Export Provider Record NPI 1033749643
Tara Davis-BoydNP
Active
NPI Number1033749643
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Psych/Mental Health
Provider Details
NPI1033749643
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2020-01-22
Last Updated2020-01-22
Mailing Address335 Lake Frances Dr
West Columbia, SC 29170-3871
United States
Phone: (210) 616-1282
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Primary Practice Address5050 Highway 17 Byp S
Myrtle Beach, SC 29588-4500
United States
Phone: (843) 830-1000
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LP0808X – Nurse Practitioner, Psych/Mental HealthSC23509
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About NPI 1033749643

Tara Davis-Boyd NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033749643. The primary specialty listed is Nurse Practitioner, Psych/Mental Health. The provider is located in Myrtle Beach, SC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-01-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1033749643?

NPI 1033749643 belongs to Tara Davis-Boyd NP, a Nurse Practitioner, Psych/Mental Health in Myrtle Beach, SC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1033749643 active?

The current status of NPI 1033749643 in the NPPES registry is Active. The record was last updated on 2020-01-22.

What specialty is NPI 1033749643?

NPI 1033749643 is classified under the taxonomy Nurse Practitioner, Psych/Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1033749643?

You can verify NPI 1033749643 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1033749643?

The primary practice address on file for NPI 1033749643 is 5050 Highway 17 Byp S, Myrtle Beach, SC 29588-4500. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1033749643 issued?

NPI 1033749643 was first issued (enumerated) on 2020-01-22. The NPPES record was last updated on 2020-01-22.

Practice Location Map

Tara Davis-Boyd is located at 5050 Highway 17 Byp S, Myrtle Beach, SC. Use the map below to find directions or verify the practice location.

📍 5050 Highway 17 Byp S, Myrtle Beach, SC 29588-4500  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Tara Davis-Boyd. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1033749643. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, Psych/Mental Health23509SC
Data Verified from CMS NPPES Last synced: 2026-06-11 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162