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

Last updated

Nov 1, 2013By the provider in NPPES

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.NPI 1164414546

Title

Owner

Phone

(843) 903-9993

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jeffrey Samuel Lindaberry, D.O.

  • Family Medicine Physician
  • Myrtle Beach, SC
  • NPI 1164414546
  Authorized official Same address or phone

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": [],
    "endpoints": [],
    "other_names": []
}

• Megan Brooke Douglass, MD
• Jeffrey Dowdy, DMD
• Angela Marie Doyle, PT, DPT
• Ellen Jordan Doyle, APRN
• Haley Marie Doyle, PA
• 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.