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

Skerdilaid Licaj, PA

Individual provider Physician Assistant · NPI 1023212842

Skerdilaid Licaj, PA is a Physician Assistant in North Myrtle Beach, South Carolina. Qualified in 2007, 19 years ago. Practices with MUSC Community Physicians, a 1,339-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
19
Licensed in
SC
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1714 Highway 17 S
North Myrtle Beach, SC 29582-4041 Not confirmed with CMS for 18 years — call before visiting
Phone: (843) 545-7200
Fax: (843) 545-5742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1212 (SC)

Record details

NPI number1023212842
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2007
Last updated in NPPESMarch 31, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Musc Community Physicians — 1339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients659
Services billed 728 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at MUSC Community Physicians

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1339 clinicians in the practice; 12 are shown here.

Other providers in North Myrtle Beach