Edwin Lee McCampbell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34466 Issued in SC

Practice address

4591 Socastee Blvd
Myrtle Beach, SC 29588-7209

Phone

(843) 497-5929

Fax

(866) 778-9611

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1023061900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3439",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295820439",
            "telephone_number": "843-839-4447",
            "fax_number": "843-399-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 SOCASTEE BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887209",
            "telephone_number": "843-497-5929",
            "fax_number": "866-778-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAMPBELL",
        "first_name": "EDWIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "34466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344667",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly McAlister
• Candace N McAlpine, M.D.
• Hanna McBrayer
• Kimeron McCallum Mishoe, RN
• Hannah Marie McCallum, NP
• Ulysse George McCann III, MD
• McCarthy Counseling Associates, PA
• Edward R McCarthy, D.O.
• Jennifer Ann McCarthy, MS LPC
• Jennifer L McCarthy, FNP-C

• Family Medicine Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.