Active NPI
Christopher Cody Belk, PA-C
- Surgical Physician Assistant
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5010
- Practice address
- 920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183 - Phone
- (843) 497-7772
- Fax
- (843) 848-7530
- NPI assigned
- Apr 20, 2015
- Last updated
- Dec 15, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5010 | SC | Primary |
| Surgical Physician Assistant | 363AS0400X | PA2766 | TN | |
| Physician Assistant | 363A00000X | 2766 | TN | |
| Physician Assistant | 363A00000X | 5010 | SC |
Addresses
Primary practice location
920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183
Mailing address
920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183
Phone (843) 497-7772
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christopher.belk.1@4694.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
199 Village Ctr Blvd
Suite 100
Myrtle Beach, SC 29579-3589
Phone (843) 497-7772
4237 River Hills Dr
Suite 150
Little River, SC 29566-6446
Phone (843) 281-2778
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 848-1440
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2766 | TN | MD | Optometrist |
| 5010 | SC | MD | Occupational Therapy Assistant |
| PA2766 | TN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Emergency Physicians PLLC | Physician Assistant | Past | Accepting new patients |
| Cane Ridge Emergency Physicians LLC | Past | Accepting new patients |
Interoperability endpoints
- christopher.belk.1@4694.direct.athenahealth.com
- christopher.belk@hca5.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Surgery Physician
- Myrtle Beach, SC
- NPI 1841465804
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1629356969
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
-
- Emergency Medicine Physician
- Smyrna, TN
- NPI 1275815433
-
- Emergency Medicine Physician
- Knoxville, TN
- NPI 1225408339
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grand Strand Medical Center
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1053708875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 510",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724183",
"telephone_number": "843-497-7772",
"fax_number": "843-848-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 510",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724183",
"telephone_number": "843-497-7772",
"fax_number": "843-848-7530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELK",
"first_name": "CHRISTOPHER",
"middle_name": "CODY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-20",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "5010",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "PA2766",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "2766",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5010",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christopher.belk.1@4694.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "10810 Parkside Dr Ste 208",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379341981",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.