Active NPI
John Branham Tomarchio, MD
- Public Health & General Preventive Medicine Physician
- Indian Shores, FL
National Provider Identifier
1043480932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 33514
- Practice address
- 19817 Gulf Blvd Apt 301
Indian Shores, FL 33785-2396 - Phone
- (803) 335-8857
- NPI assigned
- Mar 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 33514 | SC | Primary |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | ME151894 | FL |
Addresses
Primary practice location
19817 Gulf Blvd Apt 301
Indian Shores, FL 33785-2396
Mailing address
19817 Gulf Blvd Apt 301
Indian Shores, FL 33785-2396
Phone (803) 335-8857
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140323000005 | SC | Practitioner - Emergency Medicine | 4183855802 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME151894 | FL | MD | Addiction Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Coast Specialists, LLC | Current | Accepting new patients | |
| Tomarchio Medical Group, PLLC | Addiction Medicine | Current | Accepting new patients |
| Southern Coast Specialists, LLC | Current | Accepting new patients |
Locations
1055 Ribaut Rd
Ste 30
Beaufort, SC 29902
Phone (843) 476-4702
9565 Highway 78
Bldg 100
Ladson, SC 29456
Phone (843) 553-7615
16 Okatie Center Blvd S
Ste 201
Okatie, SC 29909
Phone (843) 476-4702
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.
-
- Public Health & General Preventive Medicine Physician
- Indian Shores, FL
- NPI 1316870637
Addiction Medicine
-
- Pain Medicine (Anesthesiology) Physician
- Varnville, SC
- NPI 1154935856
-
- Neurological Surgery Physician
- Ladson, SC
- NPI 1386148617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1043480932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19817 GULF BLVD APT 301",
"city": "INDIAN SHORES",
"state": "FL",
"postal_code": "337852396",
"telephone_number": "803-335-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19817 GULF BLVD APT 301",
"city": "INDIAN SHORES",
"state": "FL",
"postal_code": "337852396",
"telephone_number": "803-335-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMARCHIO",
"first_name": "JOHN",
"middle_name": "BRANHAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-06",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "SC",
"license": "33514",
"primary": true
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "FL",
"license": "ME151894",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.