Conway Hospital, Inc.

Organization Active NPI Pulmonary Disease Physician · Conway, SC

NPI 1104159110 · NPPES record last updated Jul 24, 2026

Key facts

NPI
1104159110
Entity type
Organization (NPI type 2)
Primary specialty
Pulmonary Disease Physician 207RP1001X
Legal business name
CONWAY HOSPITAL, INC.
Practice address
8004 Myrtle Trace Dr Ste 200
Conway, SC 29526-8945
Phone
(843) 234-6888
Fax
(843) 234-6889
NPI assigned
Sep 9, 2009
Organization subpart
No

Authorized official

Name
Mary Ellen Artioli
Title
Credentialing Specialist
Phone
(843) 234-6946

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

Corporate family (same tax ID) 33

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

View all 33

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031201000111 SC Part B Supplier - Clinic/Group Practice 7113839606 Receives reassigned benefits from 148 practitioners
41 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Conway, SC; Surfside Beach, SC; Myrtle Beach, SC; Murrells Inlet, SC; Little River, SC; Florence, SC

National Provider Directory

Tax ID family
Conway Hospital Inc (34 organizations share this tax ID)

Locations

8004 Myrtle Trace Dr
Ste 200
Conway, SC 29526
Phone (843) 347-8041

Interoperability endpoints

  • Direct secure messaging: snigdha.sharma@conwaymedicalcenter.cernerdirect.com
  • Direct secure messaging: hafez.hayek@conwaymedicalcenter.cernerdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RB0002X
Critical Care Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0200X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RP1001X Yes
Sleep Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RS0012X
Acute Care Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LA2100X

Addresses

Primary practice location

8004 Myrtle Trace Dr Ste 200
Conway, SC 29526-8945

Mailing address

300 Singleton Ridge Rd
Attn: Credentialing
Conway, SC 29526-9142

Other practice location 1

6010 Highway 707, Ste 300
Myrtle Beach, SC 29588-7321
Phone (843) 234-6888

Other practice location 2

176 Waccamaw Medical Park Ct
Conway, SC 29526-8965
Phone (843) 234-6888

Other practice location 3

2701 Church St, Ste D
Conway, SC 29526-9142
Phone (843) 234-6888

Other identifiers

IdentifierTypeStateIssuer
PG2230MedicaidSC
GP4505MedicaidSC
PG0368MedicaidSC
PG2913MedicaidSC

Other names

  • CMC Pulmonary and Sleep Medicine Doing business as
  • CMC Pulmonary and Sleep Medicine Church Street Doing business as
  • CMC Pulmonary and Sleep Medicine Socastee Doing business as
  • CMC Pulmonary and Sleep Medicine Waccamaw Medical Park Doing business as
  • CONWAY HOSPITAL COMMUNITY SERVICES Former legal business name
  • CPG PULMONARY & SLEEP MEDICINE Other name

Other providers in Conway, SC

All providers in Conway, SC · Pulmonary Disease Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.