NPIMap

Organization Active NPI

Southern Urgent Care Murrell's Inlet LLC

  • Urgent Care Clinic/Center
  • Murrells Inlet, SC
National Provider Identifier
1235474727
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOUTHERN URGENT CARE MURRELL'S INLET LLC
Practice address
3581 US Highway 17 Bypass
Murrells Inlet, SC 29576-7061
Phone
(912) 898-2227
NPI assigned
Dec 10, 2012
Last updated
Dec 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Yenney Meza, MDNPI 1225241854
Title
President
Phone
(604) 309-9791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3581 US Highway 17 Bypass
Murrells Inlet, SC 29576-7061

Mailing address

3581 US Highway 17 Bypass
Murrells Inlet, SC 29576-7061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130618000795 SC Part B Supplier - Clinic/Group Practice 2961641105 Receives reassigned benefits from 15 practitioners
Practice locations: Murrells Inlet, SC

National Provider Directory

National Provider Directory

Locations

3581 Highway 17
Murrells Inlet, SC 29576
Phone (912) 898-2227

3583 Highway 17
Murrells Inlt, SC 29576
Phone (215) 475-2131

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1235474727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 US HIGHWAY 17 BYPASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 US HIGHWAY 17 BYPASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767061",
            "telephone_number": "912-898-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN URGENT CARE MURRELL'S INLET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "MEZA",
        "authorized_official_first_name": "YENNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "604-309-9791",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.