Individual provider Active NPI

Edward W King, DO

  • Emergency Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1083646038
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0297 Issued in SC
Practice address
2102 Cromley Cir Ste a
Myrtle Beach, SC 29577-3187
Phone
(843) 999-0064
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0297 SC Primary

Addresses

Primary practice location

2102 Cromley Cir Ste a
Myrtle Beach, SC 29577-3187

Mailing address

PO Box 829
Conway, SC 29528-0829
Phone (843) 347-8015

Other practice location 1

811 W Main St
Lexington, SC 29072-2507
Phone (803) 358-6100

Other practice location 2

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-8015

Other identifiers 4

IdentifierTypeStateIssuer
930062143OtherMEDICARE RAILROAD
002972MedicaidSC
890605XMedicaidNC
20002420OtherFIRST CHOICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eking85603@direct.lexmed.com

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
I20071002000069 SC Practitioner - Emergency Medicine 9830135144 Reassigns benefits to 4 organizations
Practice locations: Conway, SC

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Carolina School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

811 W Main St
Lexington, SC 29072-2507
Phone (803) 936-7549

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0297SCMDEmergency Medicine Physician
297SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince Dec 19, 2017 Accepting new patients
Lexington Health Inc Current Accepting new patients
Ohio Valley Physicians Inc CurrentSince Dec 19, 2017 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Conway Hospital Emergency Professional Services Emergency Medicine CurrentSince Aug 1, 2007 Accepting new patients
Lexington County Health Services District, Inc. CurrentSince Aug 21, 2020 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Conway Hospital Long Term Care Services, Inc Past Accepting new patients

Locations

1111 Knox Abbott Dr
Cayce, SC 29033
Phone (803) 314-0660

557 Columbia Ave
Chapin, SC 29036
Phone (803) 932-0655

7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

251 W Palmetto St
Florence, SC 29501
Phone (843) 662-7026

338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300

811 W Main St
Lexington, SC 29072

811 W Main St
Ste 212
Lexington, SC 29072
Phone (803) 358-6180

154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2102 Cromley Cir
Ste A
Myrtle Beach, SC 29577
Phone (843) 999-0064

441 N Main St
Sumter, SC 29150
Phone (803) 750-5080

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1083646038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295280829",
            "telephone_number": "843-347-8015",
            "fax_number": "843-347-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 CROMLEY CIR STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773187",
            "telephone_number": "843-999-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722507",
            "country_code": "US",
            "telephone_number": "803-358-6100",
            "fax_number": "803-358-6105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Singleton Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295269142",
            "country_code": "US",
            "telephone_number": "843-347-8015",
            "fax_number": "843-347-8017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "EDWARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "0297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "930062143",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002972",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890605X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE",
            "identifier": "20002420",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eking85603@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "811 W Main St",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290722507",
            "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.