Individual provider Active NPI

Martin A Duclos, M.D.

  • Internal Medicine Physician
  • Conway, SC
National Provider Identifier
1063475192
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26837 Issued in SC
Practice address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone
(843) 347-1523
Fax
(843) 234-6722
NPI assigned
Apr 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 26837 SC Primary

Addresses

Primary practice location

300 Singleton Ridge Rd
Conway, SC 29526-9142

Mailing address

1415 Glenkeith CT
Myrtle Beach, SC 29575-5882
Phone (843) 347-1523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, CA, AL, NC, FL, TN7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20041228000221 SC Practitioner - Internal Medicine 4082694047 Reassigns benefits to 1 organization
I20181018002367 GA Practitioner - Internal Medicine 4082694047 Reassigns benefits to 3 organizations
I20190808002507 CA Practitioner - Hospitalist 4082694047 Reassigns benefits to 4 organizations
I20190926000414 AL Practitioner - Hospitalist 4082694047 Reassigns benefits to 1 organization
I20200324002726 NC Practitioner - Internal Medicine 4082694047 Reassigns benefits to 2 organizations
I20210126001074 FL Practitioner - Internal Medicine 4082694047 Reassigns benefits to 2 organizations
I20230203001758 TN Practitioner - Internal Medicine 4082694047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26837SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Murphy Hospitalist Group, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Benning Hospitalist Services, LLC CurrentSince Aug 15, 2018 Accepting new patients
Robeson Hospitalist Group PLLC CurrentSince Feb 15, 2020 Accepting new patients
Oak Mountain Group Services, LLC Current Accepting new patients
Pensacola Hospitalist Physicians, LLC CurrentSince Jan 1, 2021 Accepting new patients
Pensacola Hospitalist Physicians, LLC CurrentSince Jan 1, 2021 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Jul 25, 2019 Accepting new patients
Muscogee Hospitalist Services, LLC CurrentSince Aug 25, 2018 Accepting new patients
Floridian Hospitalist Services, LLC Current Accepting new patients
Houston Hospitalist Group LLC CurrentSince May 1, 2020 Accepting new patients
Floridian Hospitalist Services, LLC CurrentSince Aug 5, 2021 Accepting new patients
Lompoc Hospitalist Group PC CurrentSince May 1, 2020 Accepting new patients
Houston Hospitalist Group LLC Current Accepting new patients
Metro Knoxville Hma LLC Past Accepting new patients
Carolina Hospitalists Past Accepting new patients
Clarksville Health System, LLC Past Accepting new patients
Amisub (SFH), Inc. Past Accepting new patients
Jefferson County Hma LLC Past Accepting new patients

Locations

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063475192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 GLENKEITH CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295755882",
            "telephone_number": "843-347-1523",
            "fax_number": "843-234-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-347-1523",
            "fax_number": "843-234-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLOS",
        "first_name": "MARTIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "26837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.