Individual provider Active NPI

Joseph J Papotto III, D.O.

  • Family Medicine Physician
  • Murrells Inlet, SC
National Provider Identifier
1114970431
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9900976 Issued in NC
Practice address
4835 Hwy 17 S Bypass Suite B
Murrells Inlet, SC 29576
Phone
(843) 651-0304
Fax
(843) 651-1139
NPI assigned
May 18, 2006
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9900976 NC Primary

Addresses

Primary practice location

4835 Hwy 17 S Bypass Suite B
Murrells Inlet, SC 29576

Mailing address

4835 Hwy 17 S Bypass Suite B
Murrells Inlet, SC 29576
Phone (843) 651-0304

Other identifiers 1

IdentifierTypeStateIssuer
891212VMedicaidNC

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
I20070124000480 SC Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6406871623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Rowan University School of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

132 Professional Park Dr
Unit a
Conway, SC 29526-9268

132 Professional Park Dr a
Conway, SC 29526-9268

4835 Hwy 17
Suite B
Murrells Inlet, SC 29576-5037
Phone (843) 651-0304

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as individual
Quality
91.75
Promoting interoperability
100
Improvement activities
40
Cost
78.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1027SCMDOptometrist
9900976NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Life in a Blender Family Medicine, LLC Family Medicine CurrentSince Aug 13, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

132 Professional Park Dr
Unit A
Conway, SC 29526
Phone (843) 347-4900

4835 Highway 17
Ste B
Murrells Inlet, SC 29576
Phone (843) 651-0304

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7218/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joseph.papotto.1@7218.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Angelic HospiceMyrtle Beach, SC, CCN 421642 Hospice W-2 Managing Employee (50%) Sep 10, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1114970431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 HWY 17 S BYPASS SUITE B",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-651-0304",
            "fax_number": "843-651-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 HWY 17 S BYPASS SUITE B",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-651-0304",
            "fax_number": "843-651-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPOTTO",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891212V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.