Active NPI
Jeffrey Samuel Lindaberry, D.O.
- Family Medicine Physician
- Myrtle Beach, SC
National Provider Identifier
1164414546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 712
- Practice address
- 108 Finnegan CT
Myrtle Beach, SC 29579 - Phone
- (843) 903-9993
- Fax
- (843) 903-3356
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 712 | SC | Primary |
Addresses
Primary practice location
108 Finnegan CT
Myrtle Beach, SC 29579
Mailing address
108 Finnegan CT
Myrtle Beach, SC 29579
Phone (843) 903-9993
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007129 | Medicaid | SC | |
| 712 | Other | SC | MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeffrey.lindaberry@mpaii.eclinicaldirectplus.com | Direct |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051010000733 | SC | Practitioner - Family Practice | 3072572650 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
108 Finnegan CT
Myrtle Beach, SC 29579-4205
Phone (843) 903-9993
Hospital & facility affiliations
- Amedisys Home Health of Conway
- Amedisys Home Health of Myrtle Beach
- Centerwell Home Health
- McLeod Loris Hospital
- Grand Strand Regional Medical Center
- Conway Medical Center
- Tidelands Waccamaw Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 712 | SC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Family Medicine | Current | Accepting new patients |
| James M. Vest, MD PC | Family Medicine | Past | Accepting new patients |
| James M Vest MD PC | Family Medicine | Past | Accepting new patients |
| McLeod Physician Associates II | Family Medicine | Past | Accepting new patients |
Locations
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
108 Finnegan Ct
Myrtle Beach, SC 29579
Phone (843) 903-9993
Interoperability endpoints
- jeffrey.lindaberry@mpaii.eclinicaldirectplus.com
- jlindaberry26404@directmcleodehealth.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
Family Medicine, SC
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Conway, SC
- NPI 1316905573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1164414546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 FINNEGAN CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29579",
"telephone_number": "843-903-9993",
"fax_number": "843-903-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 FINNEGAN CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29579",
"telephone_number": "843-903-9993",
"fax_number": "843-903-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDABERRY",
"first_name": "JEFFREY",
"middle_name": "SAMUEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007129",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "712",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeffrey.lindaberry@mpaii.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "ECW DA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "108 Finnegan Ct",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "29579",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 22, 2021; 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.