Robert Scott Purvis, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

17893 Issued in SC

Practice address

3001 Newcastle Loop
Attn: Lisa Bass
Myrtle Beach, SC 29588-4502

Phone

(843) 215-1100

Fax

(843) 215-1211

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Dermatology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert S Purvis, MD, LLCGroup PAC ID 7113385659, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rspurvis@directaddress.net

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.

• Robert S Purvis, MD, LLC

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1154024446

  Dermatology, SC

  Medicare reassignment Care Compare group NPD Authorized official
• Grand Strand Dermatology

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1033160213

  Dermatology, SC

  Medicare reassignment NPD
• Myrtle Beach Dermatology

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1285683003

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1154373827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NEWCASTLE LOOP",
            "address_2": "ATTN: LISA BASS",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-215-1100",
            "fax_number": "843-215-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NEWCASTLE LOOP",
            "address_2": "ATTN: LISA BASS",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-215-1100",
            "fax_number": "843-215-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "17893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890633F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178952",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets, Inc.
• Viola Pugh
• Sarah Jean Puim, MD
• Jennifer Purcell, DO
• Pure Compounding
• Jesse Marsh Putman, D.O.
• Sheila Putman, D.O.
• Sandra Elaine Quast, LPC
• Branton Rice Queen, PT
• Darian Michael Quigg

• All providers in Myrtle Beach, SC
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.

Verify at the official NPI Registry.