Individual provider Active NPI

Mikhail Vinogradov, M.D.

  • Hematology & Oncology Physician
  • Myrtle Beach, SC
National Provider Identifier
1073518452
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
36916 Issued in SC
Practice address
1220 21St Ave N
Myrtle Beach, SC 29577-7401
Phone
(843) 652-8300
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 36916 SC Primary
Hematology & Oncology Physician 207RH0003X 0101259242 VA

Addresses

Primary practice location

1220 21St Ave N
Myrtle Beach, SC 29577-7401

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000

Other practice location 2

4181 Highway 17
Murrells Inlet, SC 29576-5019
Phone (843) 652-3600

Other practice location 3

2204 Hyland Ridge Dr
Charlottesville, VA 22911-3645
Phone (252) 916-3059

Other practice location 4

2405 N Fraser ST
Georgetown, SC 29440-7764
Phone (843) 545-7274

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address mvinogradovo447870@direct.musc.edu Direct Georgetown Memorial Hospital
Direct Messaging Address mvinogradovo447870@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address mvinogradovo447870@direct.musc.edu Direct Georgetown Memorial Hospital
Direct Messaging Address mvinogradovo447870@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address mvinogradovo447870@direct.musc.edu Direct Georgetown Memorial Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040806000633 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7911979497
I20140818002161 SC Practitioner - HematologyPractitioner - Medical Oncology 7911979497 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Medical Oncology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Georgetown Memorial HospitalGroup PAC ID 8224942123, 90 clinicians

Practice addresses (Care Compare)

1220 21St Ave N
Myrtle Beach, SC 29577-7401
Phone (843) 652-8300

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 792-1414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.46 of 100Reported as group
Quality
47.5
Promoting interoperability
100
Improvement activities
40
Cost
83.42

Merit-based Incentive Payment System (MIPS)

Final score
88.55 of 100Reported as group
Quality
85
Promoting interoperability
100
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101259242VAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC CurrentSince Feb 14, 2022 Accepting new patients
Georgetown Physician Associates LLC Hematology & Oncology CurrentSince Feb 14, 2022 Accepting new patients
Georgetown Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Georgetown Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Waccamaw Community Hospital CurrentSince Oct 1, 2022 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
Prime Doc of Haywood, PA Past Accepting new patients
Primedoc Park Ridge PA Past Accepting new patients

Locations

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

2405 N Fraser St
Georgetown, SC 29440
Phone (843) 545-7274

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

4181 Highway 17
Murrells Inlt, SC 29576
Phone (843) 651-3308

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

1220 21st Ave N
Myrtle Beach, SC 29577
Phone (843) 652-8300

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

Interoperability endpoints

  • Direct secure messaging: mvinogradov10250@capefearvalley.direct-ci.com
  • Direct secure messaging: mvinogradov@tidelands.direct.varian.com

Organizations & group practices 9

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1073518452",
    "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": "843-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 21ST AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777401",
            "telephone_number": "843-652-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Black River Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403304",
            "country_code": "US",
            "telephone_number": "843-527-7000",
            "fax_number": "843-520-8403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4181 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765019",
            "country_code": "US",
            "telephone_number": "843-652-3600",
            "fax_number": "843-652-3602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Hyland Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229113645",
            "country_code": "US",
            "telephone_number": "252-916-3059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 N Fraser ST",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294407764",
            "country_code": "US",
            "telephone_number": "843-545-7274",
            "fax_number": "843-545-8315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINOGRADOV",
        "first_name": "MIKHAIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "36916",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101259242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvinogradovo447870@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvinogradovo447870@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4181 Highway 17",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvinogradovo447870@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1220 21st Ave N",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295777401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvinogradovo447870@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2405 N Fraser ST",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294407764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvinogradovo447870@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4181 Highway 17",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765019",
            "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.