Active NPI
Margaret Veronica Diebold
- Student in an Organized Health Care Education/Training Program
- Myrtle Beach, SC
National Provider Identifier
1205710845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 6975 Antonio LN
Myrtle Beach, SC 29588-6492 - Phone
- (732) 504-9580
- NPI assigned
- Aug 5, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
6975 Antonio LN
Myrtle Beach, SC 29588-6492
Mailing address
151B Rutledge Ave # Msc962
Charleston, SC 29425-8903
Phone (732) 504-9580
NPI Registry JSON
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1205710845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151B RUTLEDGE AVE # MSC962",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258903",
"telephone_number": "732-504-9580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6975 ANTONIO LN",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295886492",
"telephone_number": "732-504-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEBOLD",
"first_name": "MARGARET",
"middle_name": "VERONICA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.