NPIMap

Organization Active NPI

Grand Strand Regional Medical Center, LLC

Doing business as Grand Strand Medical Center

  • Rehabilitation Hospital Unit
  • Myrtle Beach, SC
National Provider Identifier
1184135758
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
GRAND STRAND REGIONAL MEDICAL CENTER, LLC
Doing business as
Grand Strand Medical Center
Practice address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(843) 692-1000
Fax
(843) 692-1109
NPI assigned
Oct 23, 2017
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GRAND STRAND REGIONAL MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Robert Grace
Title
Cfo
Phone
(843) 692-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Other names 1

  • Grand Strand Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180606001307 SC Part A Provider - Hospital 1254233232 Practice locations: Myrtle Beach, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184135758. Details of each certification follow.

Hospital certification: CCN 42T085

Legal name
GRAND STRAND REGIONAL MEDICAL CENTER LLC
Doing business as
GRAND STRAND MEDICAL CENTER
Organization structure
LLCProprietary
Enrollment address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Grand Strand Medical CenterCCN 42T085 · All quality measures
Ownership
For profit
Certified
May 1, 2018

National Provider Directory

National Provider Directory
Tax ID family
South Strand Surgery11 organizations share this tax ID, including this one
Part of
South Strand Surgery

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4237 River Hills Dr
Ste 160
Little River, SC 29566
Phone (843) 280-6600

2000 Coastal Grand Cir
Ste 520
Myrtle Beach, SC 29577
Phone (843) 839-9933

904 Medical Cir
Myrtle Beach, SC 29572
Phone (843) 692-9526

944 Medical Cir
Myrtle Beach, SC 29572
Phone (800) 786-0626

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
HCA Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 31, 2007 100%
Eric D Smith Individual Contracted Managing EmployeeVice President of Reimbursement Mar 1, 2021
Other Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 10, 2011 100%
Frisco Holding II Organization, Nashville, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Hercules Holding II Organization, Nashville, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2016 14.4%
Ac Med LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2015 100%
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2015 100%
Jay T Pettus Individual Corporate OfficerCfo Nov 30, 2025
W-2 Managing EmployeeCfo Nov 30, 2025
Mark E Sims Individual Corporate OfficerCeo Dec 2, 2013
W-2 Managing EmployeeCeo Dec 2, 2013

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1184135758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-1000",
            "fax_number": "843-692-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-1000",
            "fax_number": "843-692-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND STRAND REGIONAL MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAND STRAND REGIONAL MEDICAL CENTER, LLC",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-692-1105"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grand Strand Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.