NPIMap

Organization Active NPI

Grand Strand Regional Medical Center LLC

Doing business as Grand Strand Medical Center

  • General Acute Care Hospital
  • Myrlte Beach, SC
National Provider Identifier
1083668669
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
GRAND STRAND REGIONAL MEDICAL CENTER LLC
Doing business as
Grand Strand Medical Center
Practice address
809 82ND Parkway
Myrlte Beach, SC 29572-4607
Phone
(843) 692-1000
Fax
(843) 692-1109
NPI assigned
May 19, 2006
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Mark Edward Sims
Title
Ceo
Phone
(615) 377-6179

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary
Ambulance 341600000X NU

Addresses

Primary practice location

809 82ND Parkway
Myrlte Beach, SC 29572-4607

Mailing address

809 82ND Parkway
Myrlte Beach, SC 29572-4607
Phone (843) 692-1000

Other identifiers 36

IdentifierTypeStateIssuer
10025074600MedicaidNE
177832601MedicaidTX
421260MedicaidNJ
431967000MedicaidME
80553900MedicaidWI
0420085MedicaidTN
05252828MedicaidMS
347055MedicaidSC
40757340MedicaidCO
4200085MedicaidNC
4200853MedicaidVA
568652MedicaidHI
017817909MedicaidMO
0420085MedicaidRI
003071967MedicaidCT
0593830MedicaidIA
304727092MedicaidMI
400323300MedicaidMD
719553MedicaidNY
00877918XMedicaidGA
100375470AMedicaidIN
1600584MedicaidKY
166374000OtherDEPT OF LABOR
411996MedicaidOH
7202482MedicaidMA
911683400MedicaidFL
9810008000MedicaidWV
XHSP32315MedicaidCA
0019712300002MedicaidPA
1000036024MedicaidDE
1762610MedicaidLA
4017285OtherBLUE CROSS
62601083MedicaidNM
200011400AMedicaidOK
3016375MedicaidWA
420085OtherHIGHMARK BLUE CROSS

Other names 1

  • Grand Strand Medical Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address GRANDSTRAND.COCQV.SCA@CCDA.HCADIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000384 SC Part A Provider - Hospital 1254233232 Practice locations: North Myrtle Beach, SC; Myrtle Beach, SC; Little River, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083668669. Details of each certification follow.

Hospital certification: CCN 420085

Legal name
GRAND STRAND REGIONAL MEDICAL CENTER LLC
Doing business as
GRAND STRAND MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 21, 1978
Last certification
Jun 10, 2022
Beds
369
Ownership / control type
Private (for profit)
Organization structure
LLC
Enrollment address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Grand Strand Regional Medical CenterCCN 420085 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
South Strand Surgery11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: grandstrand.cocqv.sca@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
HCA Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 31, 2007 100%
Eric D Smith Individual Contracted Managing EmployeeVice President of Reimbursement Mar 1, 2021
Other Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 10, 2011 100%
Frisco Holding II Organization, Nashville, TN Holding company 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Hercules Holding II Organization, Nashville, TN Holding company 5% Or Greater Indirect Ownership Interest Sep 30, 2016 14.4%
Ac Med LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2015 100%
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2015 100%
Jay T Pettus Individual Corporate OfficerCfo Nov 30, 2025
W-2 Managing EmployeeCfo Nov 30, 2025
Mark E Sims Individual Corporate OfficerChief Executive Officer Dec 2, 2013
W-2 Managing EmployeeCeo Dec 2, 2013

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 68

Affiliated clinicians 753

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 753

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1083668669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 82ND PARKWAY",
            "city": "MYRLTE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-1000",
            "fax_number": "843-692-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PARKWAY",
            "city": "MYRLTE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-1000",
            "fax_number": "843-692-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND STRAND REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-377-6179"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
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            "license": null,
            "primary": false
        }
    ],
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        },
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        },
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            "issuer": null,
            "identifier": "568652",
            "state": "HI"
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            "state": "RI"
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            "issuer": null,
            "identifier": "003071967",
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            "code": "05",
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            "identifier": "304727092",
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            "code": "01",
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            "issuer": "DEPT OF LABOR",
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            "state": "WA"
        },
        {
            "code": "01",
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            "issuer": "HIGHMARK BLUE CROSS",
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        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GRANDSTRAND.COCQV.SCA@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received.",
            "address_1": "809 82nd Pkwy",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295724607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grand Strand Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Strand Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrlte Beach, SC

Sources for this page

Verify at the official NPI Registry.