Active NPI
Winyah Surgical Specialists, PA
- Surgery Physician
- Pawleys Island, SC
National Provider Identifier
1164578266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- WINYAH SURGICAL SPECIALISTS, PA
- Practice address
- 14490 Ocean Hwy
Pawleys Island, SC 29585-9998 - Phone
- (843) 545-8850
- Fax
- (843) 545-5081
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary M. Harrelson
- Title
- Administrator
- Phone
- (843) 545-8850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
14490 Ocean Hwy
Pawleys Island, SC 29585-9998
Mailing address
PO Box 1000
Georgetown, SC 29442-9998
Phone (843) 545-8850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2686 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Murrells Inlet, SC
- NPI 1245274497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402617600000",
"number": "1164578266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294429998",
"telephone_number": "843-545-8850",
"fax_number": "843-545-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14490 OCEAN HWY",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295859998",
"telephone_number": "843-545-8850",
"fax_number": "843-545-5081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINYAH SURGICAL SPECIALISTS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2014-06-13",
"status": "A",
"authorized_official_last_name": "HARRELSON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "843-545-8850",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2686",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.