Active NPI
Mia Katherine Klein
- Surgery Physician
- Myrtle Beach, SC
National Provider Identifier
1124447396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 87569
- Practice address
- 920 Doug White Dr Ste 210
Myrtle Beach, SC 29572-4181 - Phone
- (843) 497-6348
- Fax
- (843) 497-6351
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 87569 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 87569 | SC | Primary |
Addresses
Primary practice location
920 Doug White Dr Ste 210
Myrtle Beach, SC 29572-4181
Mailing address
920 Doug White Dr Ste 210
Myrtle Beach, SC 29572-4181
Phone (843) 497-6348
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
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
920 Doug White Dr
Suite 210
Myrtle Beach, SC 29572-4181
Phone (843) 497-6348
Hospital & facility affiliations
- Grand Strand Regional Medical Center
- McLeod Loris Hospital
- Tidelands Waccamaw Community Hospital
- Conway Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Strand Surgical Specialists, LLC | Surgery | Current | Accepting new patients |
| Grand Strand Regional Medical Center LLC | Past | Accepting new patients |
Locations
4237 River Hills Dr
Ste 150
Little River, SC 29566
Phone (843) 281-2778
920 Doug White Dr
Ste 210
Myrtle Beach, SC 29572
Phone (843) 497-6348
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- mia.klein@hca5.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Surgery Physician
- Myrtle Beach, SC
- NPI 1841465804
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1124447396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 210",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724181",
"telephone_number": "843-497-6348",
"fax_number": "843-497-6351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 210",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724181",
"telephone_number": "843-497-6348",
"fax_number": "843-497-6351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "MIA",
"middle_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "SC",
"license": "87569",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "87569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.