Calabash Medical Center,PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CALABASH MEDICAL CENTER,PA

Practice address

10081 Beach Dr SW
Calabash, NC 28467-2713

Phone

(800) 579-7971

Fax

(910) 579-2407

NPI assigned

Aug 1, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy Gore Ward

Title

Ins Billing/Collections

Phone

(843) 756-5300

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

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.

• Stephen D. Grubb, MD

  • Family Medicine Physician
  • Little River, SC
  • NPI 1689672784
  NPD

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285635219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 CASEY ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692903",
            "telephone_number": "800-579-7971",
            "fax_number": "910-579-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10081 BEACH DR SW",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "284672713",
            "telephone_number": "800-579-7971",
            "fax_number": "910-579-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALABASH MEDICAL CENTER,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "GORE",
        "authorized_official_title_or_position": "INS BILLING/COLLECTIONS",
        "authorized_official_telephone_number": "843-756-5300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID CAROLINA ACCESS",
            "identifier": "343935A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPA648",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "RCH006",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA9979",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950176",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Beaulieu
• Shea Beloff, P.A.
• Janet Brooks, SLP
• Brunswick Gericare PC
• Calabash Family Pharmacy Inc (Calabash Family Pharmacy)
• Calabash Primary Care LLC
• Calabash Volunteer EMS
• Carolina Shores Healthcare, LLC
• Kimberly Carpenter, LPC
• Coastal Tides Counseling PLLC

• Family Medicine Physician in Calabash, NC
• Providers in Calabash, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.