Active NPI
Kimberly A Cecchini-Purgavie, DO
- Physical Medicine & Rehabilitation Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1162
- Practice address
- 210 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-6706 - Phone
- (843) 236-3222
- Fax
- (843) 236-3005
- NPI assigned
- Mar 20, 2006
- Last updated
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB06944300 | NJ | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 1162 | SC | Primary |
Addresses
Primary practice location
210 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-6706
Mailing address
210 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-6706
Phone (843) 236-3222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011622 | Medicaid | SC | |
| 1093774028 | Other | NPI |
Other names 1
- Kimberly C Purgavie
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rowan University School of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Village Ctr Blvd
Suite 200
Myrtle Beach, SC 29579-6706
Phone (843) 353-3460
255 Midland Pkwy
Summerville, SC 29485-8104
Phone (737) 226-6700
6650 Rivers Ave
North Charleston, SC 29406-4809
Phone (337) 991-9276
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB06944300 | NJ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Solution 1 LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Orthosc, LLC | Current | Accepting new patients | |
| CH Specialty Services SC LLC | Current | Accepting new patients | |
| Curana Health of South Carolina PC | Current | Accepting new patients | |
| Orthosc, LLC | Current | Accepting new patients | |
| Medicos, P.a. | Past | Accepting new patients | |
| Orthosc, LLC | Past | Accepting new patients | |
| Seaview Orthopaedics & Medical Associates LLP | Past | Accepting new patients |
Locations
2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222
210 Village Center Blvd
Ste 200
Myrtle Beach, SC 29579
Phone (843) 236-3222
4016 River Oaks Dr
Myrtle Beach, SC 29579
Phone (843) 742-7299
4016 River Oaks Dr
Ste 4
Myrtle Beach, SC 29579
Phone (843) 450-7632
2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750
6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361
255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005
Interoperability endpoints
- https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kimberly.purgavie.1@17161.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1275915522
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
-
- Physical Medicine & Rehabilitation Physician
- Myrtle Beach, SC
- NPI 1174188502
-
- Orthopaedic Surgery Physician
- Conway, SC
- NPI 1275369787
-
- Internal Medicine Physician
- North Myrtle Beach, SC
- NPI 1548024540
-
- Orthopaedic Surgery Physician
- North Myrtle Beach, SC
- NPI 1568100691
-
- Orthopaedic Surgery Physician
- Ocean, NJ
- NPI 1982618757
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grand Strand Medical Center
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1093774028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER BLVD STE 200",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796706",
"telephone_number": "843-236-3222",
"fax_number": "843-236-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER BLVD STE 200",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796706",
"telephone_number": "843-236-3222",
"fax_number": "843-236-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECCHINI-PURGAVIE",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MB06944300",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "1162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011622",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1093774028",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "PURGAVIE",
"middle_name": "C",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Myrtle Beach, SC
- Causey Chiropractic Center
- Brandon Thomas Causey, CCC-SLP
- Zachary Grant Causey, DC
- Casey Cavanaugh
- Wanda Cawthon, ANP
- Margaret Ann Ceips, NP-C
- Center of Hope of Myrtle Beach, LLC
- Centerwell Senior Primary Care (SC) JV PC (CenterWell Senior Primary Care-International Drive)
- Centerwell Senior Primary Care SC JV PC (CenterWell Senior Primary Care-Carolina Forest)
- Lisa Centilli, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.