Active NPI
Beaufort Memorial Concierge Care
- Family Medicine Physician
- Hardeeville, SC
National Provider Identifier
1114866464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BEAUFORT MEMORIAL CONCIERGE CARE
- Practice address
- 300 New River Pkwy Ste 16
Hardeeville, SC 29927-4455 - Phone
- (843) 522-5983
- NPI assigned
- Mar 25, 2026
- Last updated
- Mar 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Baxley
- Title
- Ceo
- Phone
- (843) 522-5140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
300 New River Pkwy Ste 16
Hardeeville, SC 29927-4455
Mailing address
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5983
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1114866464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 RIBAUT RD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025441",
"telephone_number": "843-522-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NEW RIVER PKWY STE 16",
"city": "HARDEEVILLE",
"state": "SC",
"postal_code": "299274455",
"telephone_number": "843-522-5983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUFORT MEMORIAL CONCIERGE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-25",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "BAXLEY",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-522-5140"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hardeeville, SC
- Barrett Chiropractic
- John P. Batson III, MD
- Gianna Battista
- Beaufort County Allergy (Allergy & Asthma Center of Hilton Head)
- Beaufort Jasper Hampton Comprehensive Health Services, Inc. (Donald E. Gatch Medical Center)
- Beaufort Memorial Hospital (Coastal Primary Care)
- Beaufort-Jasper-Hampton Comprehensive Health Service Inc
- Thomas Charles Beller, MD
- Benchmark Healthcare Services, LLC
- Lauren Ann Berl, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.