Active NPI
Abby Lee Rewoldt, MD
- Obstetrics & Gynecology Physician
- Myrtle Beach, SC
National Provider Identifier
1013545722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 93431
- Practice address
- 6010 Highway 707
Ste 300
Myrtle Beach, SC 29588-7321 - Phone
- (843) 347-7216
- Fax
- (843) 347-7218
- NPI assigned
- Mar 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 93431 | SC | Primary |
Addresses
Primary practice location
6010 Highway 707
Ste 300
Myrtle Beach, SC 29588-7321
Mailing address
300 Singleton Ridge Rd
Attn Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946
Other practice location 1
5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579
Phone (843) 347-7216
Other practice location 2
2376 Cypress Cir
Ste 200
Conway, SC 29526-8994
Phone (843) 347-7216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 934314 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2376 Cypress Cir
Suite 200
Conway, SC 29526-8994
Phone (843) 347-7216
Hospital & facility affiliations
- Conway Medical Center
- Grand Strand Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 52.78 of 100
- Quality
- 55.48
- Improvement activities
- 0
- Cost
- 74.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93431 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Hospital, Inc. | Current | Accepting new patients | |
| Conway Hospital, Inc. | Current | Accepting new patients | |
| Conway Hospital, Inc. | Past | Accepting new patients |
Locations
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
2376 Cypress Cir
Ste 200A
Conway, SC 29526
Phone (843) 347-7216
394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050
2376 Cypress Cir
Ste 200
Conway, SC 29526
Phone (843) 234-1710
5010 Carolina Forest Blvd
Myrtle Beach, SC 29579
Phone (843) 236-2700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Vascular Surgery Physician
- Conway, SC
- NPI 1134910763
-
- Internal Medicine Physician
- Little River, SC
- NPI 1558025783
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1013545722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"address_2": "ATTN CREDENTIALING",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-234-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 HIGHWAY 707",
"address_2": "STE 300",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295887321",
"telephone_number": "843-347-7216",
"fax_number": "843-347-7218"
}
],
"practiceLocations": [
{
"address_1": "5010 Carolina Forest Blvd",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295793579",
"country_code": "US",
"telephone_number": "843-347-7216",
"fax_number": "843-347-7218",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2376 Cypress Cir",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295268994",
"country_code": "US",
"telephone_number": "843-347-7216",
"fax_number": "843-347-7218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REWOLDT",
"first_name": "ABBY",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-29",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "93431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "934314",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.