Individual provider Active NPI

Jilian Rinehart Sansbury, M.D.

  • Internal Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1295097491
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34813 Issued in SC
Practice address
920 Doug White Dr Ste 250
Myrtle Beach, SC 29572-4120
Phone
(843) 236-1950
Fax
(843) 236-1952
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34813 SC Primary

Addresses

Primary practice location

920 Doug White Dr Ste 250
Myrtle Beach, SC 29572-4120

Mailing address

920 Doug White Dr Ste 250
Myrtle Beach, SC 29572-4120
Phone (843) 236-1950

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
I20150622002326 SC Practitioner - Internal Medicine 1456573393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians
Coastal Carolina Primary Care LLCGroup PAC ID 3577629088, 24 clinicians

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as individual
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Primary Care, LLC CurrentSince Sep 30, 2019 Accepting new patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients

Locations

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

920 Doug White Dr
Ste 250
Myrtle Beach, SC 29572
Phone (843) 236-1950

8170 Rourk St
Ste 100
Myrtle Beach, SC 29572
Phone (843) 282-1915

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jilian.sansbury@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1295097491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 250",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724120",
            "telephone_number": "843-236-1950",
            "fax_number": "843-236-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 250",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724120",
            "telephone_number": "843-236-1950",
            "fax_number": "843-236-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSBURY",
        "first_name": "JILIAN",
        "middle_name": "RINEHART",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "34813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.