Individual provider Active NPI

Ralph F Cozart, MD

  • Plastic Surgery Physician
  • Murrells Inlet, SC
National Provider Identifier
1114915956
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
19982 Issued in SC
Practice address
3911 Highway 17 Ste C
Murrells Inlet, SC 29576-5014
Phone
(843) 497-7771
Fax
(843) 652-4005
NPI assigned
Oct 6, 2005
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 19982 SC Primary

Addresses

Primary practice location

3911 Highway 17 Ste C
Murrells Inlet, SC 29576-5014

Mailing address

3911 Highway 17 Ste C
Murrells Inlet, SC 29576-5014
Phone (843) 497-7771

Other practice location 1

1021 Cipriana Dr
Ste 230
Myrtle Beach, SC 29572-4621
Phone (843) 829-9202

Other practice location 2

8170 Rourk St Ste 100
Myrtle Beach, SC 29572-4127
Phone (843) 449-0453

Other identifiers 1

IdentifierTypeStateIssuer
199822MedicaidSC

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
I20040511000039 SC Practitioner - Plastic and Reconstructive Surgery 4385633254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19982SCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dunes Cosmetic Surgery LLC Current Accepting new patients
Inlet Plastic Surgery LLC Plastic Surgery Current Accepting new patients
Strand Regional Specialty Past Accepting new patients
Strand Regional Specialty Past Accepting new patients
Craig Blum PC PastSince Mar 25, 2024 Accepting new patients

Locations

1021 Cipriana Dr
Ste 230
Myrtle Beach, SC 29572
Phone (843) 497-7771

4728 Jenn Dr
Myrtle Beach, SC 29577

4728 Jenn Dr
Ste 106
Myrtle Beach, SC 29577

Interoperability endpoints

  • Direct secure messaging: rcozart26129@directmcleodehealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1114915956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 HIGHWAY 17 STE C",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765014",
            "telephone_number": "843-497-7771",
            "fax_number": "843-652-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 HIGHWAY 17 STE C",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765014",
            "telephone_number": "843-497-7771",
            "fax_number": "843-652-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Cipriana Dr",
            "address_2": "STE 230",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724621",
            "country_code": "US",
            "telephone_number": "843-829-9202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8170 Rourk St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724127",
            "country_code": "US",
            "telephone_number": "843-449-0453",
            "fax_number": "843-449-9531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COZART",
        "first_name": "RALPH",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "19982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199822",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.