Individual provider Active NPI

Renee Ruth Lamm, M.D.

  • Addiction Psychiatry Physician
  • Myrtle Beach, SC
National Provider Identifier
1245214592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
16365 Issued in SC
Practice address
3025 Newcastle Loop
Myrtle Beach, SC 29588-4502
Phone
(843) 215-2400
Fax
(843) 215-2444
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 16365 SC Primary

Addresses

Primary practice location

3025 Newcastle Loop
Myrtle Beach, SC 29588-4502

Mailing address

3025 Newcastle Loop
Myrtle Beach, SC 29588-4502
Phone (843) 215-2400

Other identifiers 1

IdentifierTypeStateIssuer
163655MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110311000594 SC Practitioner - PsychiatryPractitioner - Addiction Medicine 4880876853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Eastern Virginia Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Strand Psychiatric Associates PAGroup PAC ID 5698708733, 3 clinicians

Practice addresses (Care Compare)

3025 Newcastle Loop
Myrtle Beach, SC 29588-4502
Phone (843) 215-2400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Strand Psychiatric Associates PA CurrentSince Jan 6, 1997 Accepting new patients
Coastal Center for Cognitive Therapy, PA Past Accepting new patients
Counseling Associates LLC Addiction Psychiatry Past Accepting new patients

Locations

3025 Newcastle Loop
Myrtle Beach, SC 29588
Phone (843) 215-1330

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245214592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 NEWCASTLE LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-215-2400",
            "fax_number": "843-215-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 NEWCASTLE LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-215-2400",
            "fax_number": "843-215-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMM",
        "first_name": "RENEE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "SC",
            "license": "16365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163655",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.