Individual provider Active NPI

Jacob Hurlan Brazee, MD

  • Internal Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1043630387
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51275 Issued in SC
Practice address
4301 Dick Pond Rd
Myrtle Beach, SC 29588-6807
Phone
(843) 652-8100
Fax
(843) 652-8122
NPI assigned
Apr 25, 2014
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51275 SC Primary

Addresses

Primary practice location

4301 Dick Pond Rd
Myrtle Beach, SC 29588-6807

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 652-8226

Other practice location 1

2200 Crow LN Ste 301
Myrtle Beach, SC 29577-1663
Phone (843) 848-5300

Other practice location 2

11916 Highway 707 Ste D
Murrells Inlet, SC 29576-9610
Phone (843) 652-8450

Other practice location 3

VA Building 1, #70622
ETSU Department of Internal Medicine
Johnson City, TN 37614-1709
Phone (423) 439-6283

Other practice location 4

2347 S Highway 17
Murrells Inlet, SC 29576-7611
Phone (843) 357-2443

Other practice location 5

4320 Holmestown Rd
Myrtle Beach, SC 29588-7837
Phone (843) 652-8440

Other identifiers 1

IdentifierTypeStateIssuer
51275OtherSCSC MEDICAL BOARD

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address jbrazee447816@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jbrazee447816@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jbrazee447816@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jbrazee447816@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jacob.brazee@thg.eclinicaldirectplus.com
Direct Messaging Address jbrazee447816@direct.musc.edu Direct Georgetown Physician Associates, LLC

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
I20171218000958 SC Practitioner - Internal Medicine 2961760186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lincoln Memorial University Medical Department, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2200 Crow LN
Myrtle Beach, SC 29577-1663

2347 S Hwy 17
Murrells Inlet, SC 29576-7611
Phone (843) 357-2443

4301 Dick Pond Rd
Myrtle Beach, SC 29588-6807
Phone (843) 652-8440

4320 Holmestown Rd
Myrtle Beach, SC 29588-7837
Phone (843) 652-8440

4367 Riverwood Dr
Murrells Inlet, SC 29576-4381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51275SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC CurrentSince Oct 11, 2017 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
Georgetown Physician Associates LLC Internal Medicine CurrentSince Oct 11, 2017 Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

11916 Highway 707
Ste D
Murrells Inlet, SC 29576
Phone (843) 652-8450

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

2200 Crow Ln
Ste 301
Myrtle Beach, SC 29577
Phone (843) 848-5300

4301 Dick Pond Rd
Myrtle Beach, SC 29588
Phone (843) 652-8100

4320 Holmestown Rd
Myrtle Beach, SC 29588
Phone (843) 546-3132

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Interoperability endpoints

  • Direct secure messaging: jbrazee447816@direct.musc.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1043630387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-652-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 DICK POND RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886807",
            "telephone_number": "843-652-8100",
            "fax_number": "843-652-8122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Crow LN Ste 301",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-848-5300",
            "fax_number": "843-848-5305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11916 Highway 707 Ste D",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295769610",
            "country_code": "US",
            "telephone_number": "843-652-8450",
            "fax_number": "843-652-8451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "VA Building 1, #70622",
            "address_2": "ETSU Department of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376141709",
            "country_code": "US",
            "telephone_number": "423-439-6283",
            "fax_number": "423-439-6386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2347 S Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295767611",
            "country_code": "US",
            "telephone_number": "843-357-2443",
            "fax_number": "843-357-2132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Holmestown Rd",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887837",
            "country_code": "US",
            "telephone_number": "843-652-8440",
            "fax_number": "843-652-8441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAZEE",
        "first_name": "JACOB",
        "middle_name": "HURLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "51275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL BOARD",
            "identifier": "51275",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrazee447816@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11916 Highway 707 Ste D",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295769610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrazee447816@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2347 S Highway 17",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295767611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrazee447816@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4320 Holmestown Rd",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295887837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrazee447816@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow LN Ste 301",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob.brazee@thg.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4301 Dick Pond Rd",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295886807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrazee447816@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4301 Dick Pond Rd",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295886807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.