Individual provider Active NPI

Eric J Swanson, CRNA

  • Certified Registered Nurse Anesthetist
  • Myrtle Beach, SC
National Provider Identifier
1245565050
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
20912 Issued in SC
Practice address
945 82ND Pkwy
Ste 3a
Myrtle Beach, SC 29572-4612
Phone
(843) 449-3381
Fax
(843) 629-9621
NPI assigned
Oct 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN183471CRNA GA
Certified Registered Nurse Anesthetist 367500000X 20912 SC Primary

Addresses

Primary practice location

945 82ND Pkwy
Ste 3a
Myrtle Beach, SC 29572-4612

Mailing address

945 82ND Pkwy
Ste 3a
Myrtle Beach, SC 29572-4612
Phone (843) 449-3381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100324000676 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779618160 Reassigns benefits to 2 organizations
I20171002000327 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779618160 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Atlantic Coast Anesthesia Services PCGroup PAC ID 3971887167, 71 clinicians

Practice addresses (Care Compare)

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7111

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Hospital & facility affiliations

  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
  • Conway Medical Center Hospital, Conway, SC, CCN 420049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN183471CRNAGAMDCertified Registered Nurse Anesthetist
20912SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
WGG Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2013 Accepting new patients
Atlantic Coast Anesthesia Services P.C. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Beach Anesthesia, LLC CurrentSince Jul 11, 2017 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2019 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC CurrentSince Mar 15, 2023 Accepting new patients
Irwin County Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2017 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC Current Accepting new patients
Strand Gi Associates PA CurrentSince Oct 1, 2018 Accepting new patients

Locations

160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800

710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

822 Farrar Dr
Conway, SC 29526
Phone (843) 347-9587

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

7900 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 449-3381

945 82nd Pkwy
Ste 3A
Myrtle Beach, SC 29572
Phone (843) 449-3381

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Organizations & group practices 8

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1245565050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 82ND PKWY",
            "address_2": "STE 3A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724612",
            "telephone_number": "843-449-3381",
            "fax_number": "843-629-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 82ND PKWY",
            "address_2": "STE 3A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724612",
            "telephone_number": "843-449-3381",
            "fax_number": "843-629-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-12",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN183471CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "20912",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.