NPIMap

Individual provider Active NPI

Janet E Harris-Hicks, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Myrtle Beach, SC
National Provider Identifier
1225125669
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
23058 Issued in SC
Practice address
1021 Cipriana Dr Ste 250
Myrtle Beach, SC 29572-4621
Phone
(910) 330-9080
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 200400873 NC
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 23058 SC Primary

Addresses

Primary practice location

1021 Cipriana Dr Ste 250
Myrtle Beach, SC 29572-4621

Mailing address

1021 Cipriana Dr Ste 250
Myrtle Beach, SC 29572-4621
Phone (843) 895-2120

Other practice location 1

108 Endo Ln Ste 1
Hamlet, NC 28345-4567
Phone (910) 205-8909

Other identifiers 4

IdentifierTypeStateIssuer
23058OtherSCSC MED LIC
1377EOtherNCBCBS ID NUMBER
N0087EMedicaidSC
891377EMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041130000028 NC Practitioner - Obstetrics/Gynecology 3476518622 Reassigns benefits to 1 organization
I20230330001526 SC Practitioner - Obstetrics/Gynecology 3476518622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1021 Cipriana Dr
Suite 250
Myrtle Beach, SC 29572-4621
Phone (843) 895-2120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-7, LLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Dec 1, 2016 Accepting new patients
Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Nov 22, 2022 Accepting new patients
Hamlet Hma PPM LLC Past Accepting new patients

Locations

108 Endo Ln
Ste 1
Hamlet, NC 28345
Phone (910) 205-8909

222 W Main St
Hamlet, NC 28345
Phone (910) 205-0400

104 Rice St
Hamlet, NC 28345
Phone (910) 582-4003

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

1021 Cipriana Dr
Ste 250
Myrtle Beach, SC 29572
Phone (843) 421-8200

Interoperability endpoints

  • Direct secure messaging: janet.harris-hicks.1@28116.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1225125669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 CIPRIANA DR STE 250",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724621",
            "telephone_number": "843-895-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CIPRIANA DR STE 250",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724621",
            "telephone_number": "910-330-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Endo Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hamlet",
            "state": "NC",
            "postal_code": "283454567",
            "country_code": "US",
            "telephone_number": "910-205-8909",
            "fax_number": "910-205-8952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS-HICKS",
        "first_name": "JANET",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NC",
            "license": "200400873",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "SC",
            "license": "23058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MED LIC",
            "identifier": "23058",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "1377E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0087E",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891377E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.