Individual provider Active NPI

John Branham Tomarchio, MD

  • Public Health & General Preventive Medicine Physician
  • Indian Shores, FL
National Provider Identifier
1043480932
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
33514 Issued in SC
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

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140323000005 SC Practitioner - Emergency MedicinePractitioner - Preventive Medicine 4183855802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME151894FLMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Coast Specialists, LLC CurrentSince Sep 16, 2019 Accepting new patients
Tomarchio Medical Group, PLLC Addiction Medicine Current Accepting new patients
Southern Coast Specialists, LLC CurrentSince Sep 16, 2019 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.

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

Verify at the official NPI Registry.