Individual provider Active NPI

Gery Brian Katalinich, DPM

  • Podiatrist
  • Myrtle Beach, SC
National Provider Identifier
1023006178
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
90 Issued in SC
Practice address
5046 Hwy 17 Byp S
Suite 102
Myrtle Beach, SC 29588-4503
Phone
(843) 293-6366
Fax
(843) 293-4469
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 90 SC Primary

Addresses

Primary practice location

5046 Hwy 17 Byp S
Suite 102
Myrtle Beach, SC 29588-4503

Mailing address

5046 Hwy 17 Byp S
Suite 102
Myrtle Beach, SC 29588-4503
Phone (843) 293-6366

Other identifiers 1

IdentifierTypeStateIssuer
PD0902MedicaidSC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006001161 SC Practitioner - Podiatry 7416916317 Reassigns benefits to 1 organization
Practice locations: Myrtle Beach, SC

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5046 Gwy 17 S Byp
Suite 102
Myrtle Beach, SC 29588-4503
Phone (843) 293-6366

5046 Hwy 17 Byp S
Suite 102
Myrtle Beach, SC 29588-4503

5046 Hwy 17 S Byp 102
Myrtle Beach, SC 29588-4503
Phone (843) 293-6366

Hospital & facility affiliations

  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions69
Removal of nail tissue2120
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90SCMDPodiatrist

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Low Country Foot Specialists, LLC CurrentSince Aug 2, 2023 Accepting new patients

Locations

872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050

1743 N Fraser St
Georgetown, SC 29440
Phone (843) 546-2222

1001 N Fraser St
Georgetown, SC 29440
Phone (843) 527-4447

5046 Highway 17 Byp S
Ste 102
Myrtle Beach, SC 29588
Phone (843) 293-6366

4452 Socastee Blvd
Myrtle Beach, SC 29588
Phone (720) 638-0846

120 Litchfield Dr
Pawleys Island, SC 29585
Phone (843) 237-0343

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: gkatalinich447805@direct.musc.edu

Organizations & group practices 1

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1023006178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 HWY 17 BYP S",
            "address_2": "SUITE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884503",
            "telephone_number": "843-293-6366",
            "fax_number": "843-293-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 HWY 17 BYP S",
            "address_2": "SUITE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884503",
            "telephone_number": "843-293-6366",
            "fax_number": "843-293-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATALINICH",
        "first_name": "GERY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "90",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD0902",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.