Carolina Rheumatology & Neurology Assoc.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

CAROLINA RHEUMATOLOGY & NEUROLOGY ASSOC.

Practice address

8220 Nigels Drive
Myrtle Beach, SC 29572-4125

Phone

(843) 692-0968

Fax

(843) 692-2688

NPI assigned

Sep 7, 2006

Last updated

Oct 7, 2024By 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

Shari Wilson

Title

Office Manager

Phone

(843) 692-0968

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 7

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.

• Kristin Etzkorn, D.O.

  • Rheumatology Physician
  • Murrells Inlet, SC
  • NPI 1265674238
  Medicare reassignment Care Compare group NPD
• Wendy W Lee, MD

  • Rheumatology Physician
  • Myrtle Beach, SC
  • NPI 1154360675
  Medicare reassignment Care Compare group NPD
• Amanda Long Robertson, DNP

  • Nurse Practitioner
  • Myrtle Beach, SC
  • NPI 1265023964
  Medicare reassignment Care Compare group NPD
• Jon Mitchell Twining, MD

  • Rheumatology Physician
  • Myrtle Beach, SC
  • NPI 1568492346
  Medicare reassignment Care Compare group NPD
• Francis M Benz, MD

  • Neurology Physician
  • Lebanon, NH
  • NPI 1285680397

  SC

  Medicare reassignment Care Compare group NPD
• Sarah Exum Ryan, PA-C

  • Physician Assistant
  • Myrtle Beach, SC
  • NPI 1457159584
  Medicare reassignment Care Compare group
• Melissa Joan Terchek, MD

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1639280753

  Rheumatology, SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1215031653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 NIGELS DRIVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724125",
            "telephone_number": "843-692-0968",
            "fax_number": "843-692-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 NIGELS DRIVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724125",
            "telephone_number": "843-692-0968",
            "fax_number": "843-692-2688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4835 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765037",
            "country_code": "US",
            "telephone_number": "843-692-0968",
            "fax_number": "843-692-2688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA RHEUMATOLOGY & NEUROLOGY ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-692-0968"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Pain and Wellness Inc
• Carolina Pediatric Therapy
• Carolina Pediatric Therapy Inc
• Carolina Regional Cancer Center LLC
• Carolina Regional Surgery Center. LTD (Grande Dunes Surgery Center)
• Carolina Shores Medical Associates
• Carolina Shores Medical Associates
• Carolina Wellness and Rehabilitation Center
• Carolinas Hearing Group LLC (Miracle-Ear Centers)
• Kassandra Jean Carpenter, AA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.