Individual provider Active NPI

Frank Nicholas Colvard, M.D.

  • Pediatrics Physician
  • Myrtle Beach, SC
National Provider Identifier
1215157417
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
29358 Issued in SC
Practice address
8120 Rourk St
Myrtle Beach, SC 29572-4127
Phone
(843) 449-1438
Fax
(843) 286-1349
NPI assigned
Apr 27, 2007
Last updated
Jul 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 001206 GA
Pediatrics Physician 208000000X 29358 SC Primary

Addresses

Primary practice location

8120 Rourk St
Myrtle Beach, SC 29572-4127

Mailing address

8120 Rourk St
Myrtle Beach, SC 29572-4127
Phone (843) 449-1438

Other identifiers 1

IdentifierTypeStateIssuer
570783896OtherSCTAX ID

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
001206GAMDProfessional Counselor
29358SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Strand Pediatrics & Adolescent Medicine, P.a. Current Accepting new patients
University Medical Associates of the Medical University of South Carol Past Accepting new patients

Locations

8120 Rourk St
Myrtle Beach, SC 29572
Phone (843) 449-1438

Interoperability endpoints

  • Direct secure messaging: frankcolvard@gspsc.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1215157417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724127",
            "telephone_number": "843-449-1438",
            "fax_number": "843-286-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724127",
            "telephone_number": "843-449-1438",
            "fax_number": "843-286-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVARD",
        "first_name": "FRANK",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "001206",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "29358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "570783896",
            "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 Jul 29, 2015; 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.