Individual provider Active NPI

George M. Sandoz, MD

  • Neurology Physician
  • Conway, SC
National Provider Identifier
1013975010
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20125 Issued in SC
Practice address
8024 Myrtle Trace Dr
Conway, SC 29526-8945
Phone
(843) 234-8950
Fax
(843) 234-8951
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20125 SC Primary
Ophthalmology Physician 207W00000X 20125 SC

Addresses

Primary practice location

8024 Myrtle Trace Dr
Conway, SC 29526-8945

Mailing address

300 Singleton Ridge Rd
Attention Patient Accounting
Conway, SC 29526-9142
Phone (843) 234-8950

Other practice location 1

6010 Highway 707, Ste 200
Myrtle Beach, SC 29588-7321
Phone (843) 234-8950

Other identifiers 12

IdentifierTypeStateIssuer
5417704OtherSCHEALTHSOURCE/CIGNA
540600OtherSCFOCUS
5960633OtherSCAETNA OPEN NETWORK
7906039MedicaidNC
1180501OtherSCFIRST HEALTH
01839335MedicaidPA
81449OtherSCMEDCOST
434038OtherSCONE HEALTH PLAN
2084681OtherSCAETNA HMO NETWORK
5787266001OtherSCCIGNA
0504373OtherSCPHYSICIANS HEALTH PLAN
201258MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000733 SC Practitioner - NeurologyPractitioner - Ophthalmology 8921131756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Ophthalmology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7112

394 Singleton Ridge Rd
Conway, SC 29526-9150
Phone (843) 347-8050

8004 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 234-8939

8024 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 234-8950

Hospital & facility affiliations

  • Medical Services of America Home Health - Coastal Home health agency, Myrtle Beach, SC, CCN 427025
  • Well Care Home Health of the Lowcountry Inc Home health agency, Myrtle Beach, SC, CCN 427138
  • Conway Medical Center Hospital, Conway, SC, CCN 420049
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
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

LicenseStateTypeSpecialty
20125SCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. CurrentSince Dec 14, 2019 Accepting new patients
Conway Hospital, Inc. CurrentSince Dec 14, 2019 Accepting new patients
Strand Regional Specialty Past Accepting new patients
Strand Regional Specialty Past Accepting new patients
Conway Hospital, Inc. Past Accepting new patients

Locations

8024 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 234-8950

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

2376 Cypress Cir
Ste 200
Conway, SC 29526
Phone (843) 234-1710

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

808 Farrar Dr
Conway, SC 29526
Phone (843) 234-8700

124 Professional Park Dr
Conway, SC 29526
Phone (843) 234-8950

Organizations & group practices 5

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1013975010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PATIENT ACCOUNTING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-8950",
            "fax_number": "843-234-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8024 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-234-8950",
            "fax_number": "843-234-8951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6010 Highway 707, Ste 200",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887321",
            "country_code": "US",
            "telephone_number": "843-234-8950",
            "fax_number": "843-234-8951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOZ",
        "first_name": "GEORGE",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "20125",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "20125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE/CIGNA",
            "identifier": "5417704",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOCUS",
            "identifier": "540600",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA OPEN NETWORK",
            "identifier": "5960633",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7906039",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1180501",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01839335",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "81449",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "434038",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO NETWORK",
            "identifier": "2084681",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5787266001",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "0504373",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201258",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.