Dr. Lindaberry at Carolina Forest, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

712 Issued in SC

Legal business name

DR. LINDABERRY AT CAROLINA FOREST, PC

Practice address

108 Finnegan CT
Myrtle Beach, SC 29579-4205

Phone

(843) 903-9993

Fax

(843) 903-3356

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Samuel Lindaberry, D.O.

Title

Owner

Phone

(843) 903-9993

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1184635401",
    "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": "295794205",
            "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": "295794205",
            "telephone_number": "843-903-9993",
            "fax_number": "843-903-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LINDABERRY AT CAROLINA FOREST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "LINDABERRY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-903-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4245",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cammy Dou
• Megan Brooke Douglass, MD
• Jeffrey Dowdy, DMD
• Angela Marie Doyle, PT, DPT
• Ellen Jordan Doyle, APRN
• Jodi Anne Dresmich, COTA/L
• Drew Medical Group, LLC
• Alexander Matthew Drew, D.O.
• Christine Michelle Drew, FNP-BC
• Gary Drew

• Family Medicine Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.