Robert S Purvis, MD, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ROBERT S PURVIS, MD, LLC

Practice address

3001 Newcastle Loop
Myrtle Beach, SC 29588-4502

Phone

(843) 887-7546

Fax

(854) 588-6246

NPI assigned

Mar 24, 2023

Organization subpart

No

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

Authorized official

Name

Robert Scott Purvis, MDNPI 1154373827

Title

Owner/Authorized Official

Phone

(843) 887-7546

Specialties & licenses 1

Addresses

Other names 1

• Purvis Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Scott Purvis, MD

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1154373827
  Medicare reassignment Care Compare group NPD Authorized official
• Morgan Mattingly Kelley

  • Family Nurse Practitioner
  • Myrtle Beach, SC
  • NPI 1790260453
  Medicare reassignment Care Compare group NPD
• Cassie Buchan, PA-C

  • Physician Assistant
  • Myrtle Beach, SC
  • NPI 1144792656
  NPD
• Lucia Griffith, PA-C

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1518501865

  Single Specialty

  NPD
• Mary Hollingsworth Bowdre Glover, M.D.

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1720309941
  NPD (past)
• Nathan Patrick Jones, M.D.

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1528245560
  NPD (past)
• Christopher Brian Skvarka, M.D.

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1306014550
  NPD (past)

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1154024446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NEWCASTLE LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-887-7546",
            "fax_number": "854-588-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NEWCASTLE LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-887-7546",
            "fax_number": "854-588-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S PURVIS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "843-887-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purvis Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marjorie Ritter, RPH
• Frangely A Rivera Serrano, NURSE PRACTITIONER
• Rivertown Lymphedema Clinic and Rehab, LLC
• Roadway Enterprises, LLC
• Darcy N Roberson
• Robert S. Merritt DMD PC
• Brian J Roberts, MD
• Christine K Roberts, M.D.
• Jennifer Roberts
• Amanda Long Robertson, DNP

• Dermatology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.