Active NPI
George B Nicholson Jr., MD
- Surgery Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9938
- Practice address
- 845 82ND Pkwy
Myrtle Beach, SC 29572-4614 - Phone
- (843) 449-9621
- Fax
- (843) 449-4921
- NPI assigned
- Dec 5, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9938 | SC | Primary |
Addresses
Primary practice location
845 82ND Pkwy
Myrtle Beach, SC 29572-4614
Mailing address
845 82ND Pkwy
Myrtle Beach, SC 29572-4614
Phone (843) 449-9621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099388 | Medicaid | SC |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical University of South Carolina College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Village Ctr Blvd
Suite 110
Myrtle Beach, SC 29579-6706
Phone (843) 449-9621
Hospital & facility affiliations
- Grand Strand Regional Medical Center
- McLeod Loris Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.2 of 100
- Quality
- 85.84
- Improvement activities
- 40
- Cost
- 72.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 47 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of Myrtle Beach, LLC | Surgery | Current | Accepting new patients |
Locations
210 Village Center Blvd
Ste 110
Myrtle Beach, SC 29579
Phone (843) 449-8079
845 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 449-9621
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADBCDD
- https://fhir4.healow.com/fhir/r4/ADBCDD/Endpoint/ADBCDD
Organizations & group practices 1
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.
-
- Surgery Physician
- Myrtle Beach, SC
- NPI 1295773695
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1184608937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724614",
"telephone_number": "843-449-9621",
"fax_number": "843-449-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724614",
"telephone_number": "843-449-9621",
"fax_number": "843-449-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "GEORGE",
"middle_name": "B",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "9938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099388",
"state": "SC"
}
],
"endpoints": [],
"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 Mar 22, 2010; 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.