NPIMap

Individual provider Active NPI

David R Anderson, MD

  • Diagnostic Radiology Physician
  • Georgetown, SC
National Provider Identifier
1215996129
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23244 Issued in SC
Practice address
606 Black River Rd
Georgetown, SC 29440-3304
Phone
(843) 237-3378
Fax
(843) 237-5073
NPI assigned
Mar 20, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 23244 SC Primary

Addresses

Primary practice location

606 Black River Rd
Georgetown, SC 29440-3304

Mailing address

PO Box 2249
Pawleys Island, SC 29585-2249
Phone (843) 237-3378

Other identifiers 1

IdentifierTypeStateIssuer
232448MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000605 SC Practitioner - Diagnostic Radiology 3072414457 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Georgetown RadiologyGroup PAC ID 1153405360, 7 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Howard Simon MD PLLCGroup PAC ID 7214369966, 61 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

4070 Hwy 17
Murrells Inlet, SC 29576-5033
Phone (843) 527-7441

51 Cotillion CT
Georgetown, SC 29440-7052
Phone (480) 306-6949

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7441

637 Flycatcher LN
Blythewood, SC 29016-8041
Phone (480) 306-6949

758 Berkshire Ave
Myrtle Beach, SC 29577-1209
Phone (480) 306-6949

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.05 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2002021783MOMDDiagnostic Radiology Physician
23244SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Nov 1, 2025 Accepting new patients
Georgetown Radiology Diagnostic Radiology CurrentSince Apr 1, 2003 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Dec 3, 2025 Accepting new patients
Musc Community Physicians Diagnostic Radiology Current Accepting new patients
Georgetown Radiology Diagnostic Radiology CurrentSince Apr 1, 2003 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jan 26, 2026 Accepting new patients
Musc Community Physicians CurrentSince Nov 1, 2025 Accepting new patients
Saint Luke's Hospital Medical Services LLC Diagnostic Radiology Past Accepting new patients
Rolla Radiology Group, LLC Diagnostic Radiology Past Accepting new patients
Bluff Radiology Group, LLC Diagnostic Radiology Past Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

446 E Ontario St
Ste 106
Chicago, IL 60611
Phone (312) 440-0016

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Organizations & group practices 10

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1215996129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2249",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295852249",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BLACK RIVER RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403304",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "23244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232448",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.