Active NPI
Paul S Cohen, M.D.
- Internal Medicine Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15624
- Practice address
- 7724 N Kings Hwy
Myrtle Beach, SC 29572-3041 - Phone
- (843) 663-8000
- Fax
- (843) 663-8123
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15624 | SC | Primary |
Addresses
Primary practice location
7724 N Kings Hwy
Myrtle Beach, SC 29572-3041
Mailing address
PO Box 547
Little River, SC 29566-0547
Phone (843) 663-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156244 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little River Medical Center, Inc. | Current | Accepting new patients | |
| Little River Medical Center, Inc | Current | Accepting new patients | |
| Little River Medical Center, Inc. | Current | Accepting new patients | |
| Little River Medical Center Inc | Current | Accepting new patients | |
| Little River Medical Center, Inc. | Current | Accepting new patients |
Locations
4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939
3817 Main St
Loris, SC 29569
Phone (843) 663-8297
4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013
3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689
7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939
Interoperability endpoints
- paul.cohen@lrmc.directbygreenway.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Little River, SC
- NPI 1629021076
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1346638483
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1184783284
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1508120619
-
- Federally Qualified Health Center (FQHC)
- Loris, SC
- NPI 1619100096
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1669535225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1194778423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295660547",
"telephone_number": "843-663-8000",
"fax_number": "843-663-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7724 N KINGS HWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295723041",
"telephone_number": "843-663-8000",
"fax_number": "843-663-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "PAUL",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "15624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156244",
"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 Nov 26, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.