Active NPI
Robert Christian Lee Olson, DO
- Psychiatry Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 89532
- Practice address
- Grand Strand Medical Center
809 82ND Pkwy
Myrtle Beach, SC 29572 - Phone
- (843) 847-4377
- NPI assigned
- Mar 17, 2019
- Last updated
- Jun 30, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NC | ||
| Psychiatry Physician | 2084P0800X | 89532 | SC | Primary |
Addresses
Primary practice location
Grand Strand Medical Center
809 82ND Pkwy
Myrtle Beach, SC 29572
Mailing address
Grand Strand Medical Center
809 82ND Pkwy
Myrtle Beach, SC 29572
Phone (843) 847-4377
Other practice location 1
Wake Forest School Of Medicine Medical Center Blvd.
Dept. Of Psychiatry
Winston Salem, NC 27157-1087
Phone (336) 716-4551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone (336) 832-9600
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.73 of 100
- Quality
- 73.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89532 | SC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Psychiatry | Current | Accepting new patients |
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Past | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600
Interoperability endpoints
- rolson764535@direct.conehealth.com
Organizations & group practices 6
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.
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
dba ARMC Health Care Employee Pharmacy
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
Psychiatry
-
dba Cone Health Community Pharmacy at Eden
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
-
- Psychiatric Hospital Unit
- Greensboro, NC
- NPI 1295848562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1285193540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GRAND STRAND MEDICAL CENTER",
"address_2": "809 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29572",
"telephone_number": "843-847-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GRAND STRAND MEDICAL CENTER",
"address_2": "809 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29572",
"telephone_number": "843-847-4377"
}
],
"practiceLocations": [
{
"address_1": "Wake Forest School Of Medicine Medical Center Blvd.",
"address_2": "Dept. Of Psychiatry",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271571087",
"country_code": "US",
"telephone_number": "336-716-4551",
"fax_number": "336-716-9642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSON",
"first_name": "ROBERT",
"middle_name": "CHRISTIAN LEE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-17",
"last_updated": "2023-06-30",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "89532",
"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 Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.