Individual provider Active NPI

Daniel M McNabb, MD

  • Emergency Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1134238371
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
47312 Issued in WI
Practice address
Carolina Health Specialists 4615 Oleander Dr
Suite 201-a
Myrtle Beach, SC 29577-1622
Phone
(843) 449-9559
NPI assigned
Aug 30, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 47312 WI Primary

Addresses

Primary practice location

Carolina Health Specialists 4615 Oleander Dr
Suite 201-a
Myrtle Beach, SC 29577-1622

Mailing address

805 N 2ND St
Apt 4
Medford, WI 54451-1119
Phone (570) 510-7227

Other identifiers 1

IdentifierTypeStateIssuer
34587800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041004000766 WI Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Geriatric Medicine 5294794558 Reassigns benefits to 1 organization
I20090217000719 SC Practitioner - Emergency MedicinePractitioner - Family Practice 5294794558 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47312WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Aug 3, 2015 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince May 11, 2010 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Aug 3, 2015 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince May 3, 2014 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince May 11, 2010 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. PastSince Jul 25, 2019 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

144 N Ravenel St
Florence, SC 29506
Phone (843) 777-2566

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

Interoperability endpoints

  • Direct secure messaging: dmcnabb25300@directmcleodehealth.org
  • Direct secure messaging: dmcnabb860362@direct.emplifyhealth.org

Organizations & group practices 7

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1134238371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N 2ND ST",
            "address_2": "APT 4",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511119",
            "telephone_number": "570-510-7227",
            "fax_number": "843-497-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAROLINA HEALTH SPECIALISTS 4615 OLEANDER DR",
            "address_2": "SUITE 201-A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771622",
            "telephone_number": "843-449-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNABB",
        "first_name": "DANIEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "47312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34587800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.