Individual provider Active NPI

McKenzye Madison Dehart McCoyle, DO

  • Neurology Physician
  • Murrells Inlet, SC
National Provider Identifier
1083237911
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
010892 Issued in AZ
Practice address
4040 Highway 17 Unit 301
Murrells Inlet, SC 29576-5098
Phone
(843) 652-8205
Fax
(843) 652-8215
NPI assigned
May 27, 2020
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 010892 AZ Primary

Addresses

Primary practice location

4040 Highway 17 Unit 301
Murrells Inlet, SC 29576-5098

Mailing address

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

Other practice location 1

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mac.dehartmccoyle@tidelandshealth.org 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
I20250620000109 SC Practitioner - Neurology 6507282662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4040 Hwy 17
Unit 301
Murrells Inlet, SC 29576-5098
Phone (843) 652-8205

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC Current Accepting new patients
Georgetown Physician Associates LLC Neurology CurrentSince Aug 10, 2025 Accepting new patients
Georgetown Physician Associates LLC Neurology CurrentSince Aug 10, 2025 Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

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

4040 Highway 17
Unit 301
Murrells Inlet, SC 29576
Phone (843) 652-8205

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

Interoperability endpoints

  • Direct secure messaging: mac.dehartmccoyle@tidelandshealth.org

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 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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1083237911",
    "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": "4040 HIGHWAY 17 UNIT 301",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765098",
            "telephone_number": "843-652-8205",
            "fax_number": "843-652-8215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595499",
            "country_code": "US",
            "telephone_number": "480-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHART MCCOYLE",
        "first_name": "MCKENZYE",
        "middle_name": "MADISON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "010892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mac.dehartmccoyle@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4040 Highway 17 Unit 301",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.