Individual provider Active NPI

Robert Christian Lee Olson, DO

  • Psychiatry Physician
  • Myrtle Beach, SC
National Provider Identifier
1285193540
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
89532 Issued in SC
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230828000262 SC Practitioner - Psychiatry 3678809506
I20250825000542 NC Practitioner - Psychiatry 3678809506 Reassigns benefits to 2 organizations

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 100Reported as group
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

LicenseStateTypeSpecialty
89532SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Sep 1, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Psychiatry CurrentSince Sep 1, 2025 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Sep 1, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.