Active NPI
Christopher Glenn Johnson II, MD
- Family Medicine Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 95482
- Practice address
- 4320 Holmestown Rd
Myrtle Beach, SC 29588-7837 - Phone
- (843) 652-8440
- Fax
- (843) 652-8441
- NPI assigned
- Apr 11, 2018
- Last updated
- Oct 31, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 95482 | SC | Primary |
| Family Medicine Physician | 207Q00000X | 98793 | GA | |
| Family Medicine Physician | 207Q00000X | D93248 | MD |
Addresses
Primary practice location
4320 Holmestown Rd
Myrtle Beach, SC 29588-7837
Mailing address
PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000
Other practice location 1
456 N Main St
Hemingway, SC 29554-9190
Phone (843) 558-9319
Other practice location 2
9699 Ocean HWY
Pawleys Island, SC 29585-7425
Phone (843) 237-4296
Other practice location 3
2200 Crow Ln Ste 301
Myrtle Beach, SC 29577-1663
Phone (843) 848-5300
Other practice location 4
4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000
Other practice location 5
1075 N Fraser St
Georgetown, SC 29440-2848
Phone (843) 527-4442
Other practice location 6
4301 Dick Pond Rd
Myrtle Beach, SC 29588-6807
Phone (843) 652-8100
Other practice location 7
4367 Riverwood Dr Unit 110
Murrells Inlet, SC 29576-4381
Phone (843) 652-8046
Other practice location 8
701 S Morgan Ave
Andrews, SC 29510-2959
Phone (843) 264-5253
Other practice location 9
11916 Highway 707 Ste D
Murrells Inlet, SC 29576-9610
Phone (843) 652-8450
Other practice location 10
1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-8623
Other practice location 11
1453 Harper St
Augusta, GA 30912-0020
Phone (202) 735-1128
Other practice location 12
606 Black River Rd
Georgetown, SC 29440-3368
Phone (843) 527-7000
Other practice location 13
2347 S Highway 17
Murrells Inlet, SC 29576-7611
Phone (843) 357-2443
Electronic endpoints 12
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Georgetown Memorial Hospital |
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Waccamaw Community Hospital |
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | cjohnson546007@direct.musc.edu | Direct | Georgetown Physician Associates, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, VA, TN, GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Meharry Medical College School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4320 Holmestown Rd
Myrtle Beach, SC 29588-7837
Phone (843) 652-8440
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 41.83 of 100
- Quality
- 3.95
- Improvement activities
- 40
- Cost
- 82.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.91 of 100
- Quality
- 50.88
- Improvement activities
- 40
- Cost
- 69.9
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.85 of 100
- Quality
- 21.4
- Improvement activities
- 0
- Cost
- 76.92
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 83.98
- Improvement activities
- 40
- Cost
- 76.51
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Indiana PC | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Georgetown Physician Associates, LLC | Family Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Crestwood HB Medical Services LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Imc-Hospitalists LLC | Current | Accepting new patients | |
| Pepper Branch Physician Services, PC | Family Medicine | Current | Accepting new patients |
| Georgetown Physician Associates, LLC | Family Medicine | Current | Accepting new patients |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Georgetown Physician Associates LLC | Family Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Waccamaw Community Hospital | Current | Accepting new patients | |
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Georgetown Physician Services, LLC | Family Medicine | Past | Accepting new patients |
Locations (25 of 29)
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 880-4177
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813
1220 W Wheeler Pkwy
Augusta, GA 30909
Phone (706) 721-2741
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409
701 S Morgan Ave
Andrews, SC 29510
Phone (843) 264-5253
1075 N Fraser St
Georgetown, SC 29440
Phone (843) 527-3588
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
456 N Main St
Hemingway, SC 29554
Phone (843) 558-9319
11916 Highway 707
Ste D
Murrells Inlet, SC 29576
Phone (843) 652-8450
2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443
4367 Riverwood Dr
Unit 110
Murrells Inlet, SC 29576
Phone (843) 652-8046
4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100
2200 Crow Ln
Ste 301
Myrtle Beach, SC 29577
Phone (843) 848-5300
4301 Dick Pond Rd
Myrtle Beach, SC 29588
Phone (843) 652-8100
4320 Holmestown Rd
Myrtle Beach, SC 29588
Phone (843) 546-3132
12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231
Interoperability endpoints
- christopher.johnson.1@15259.direct.athenahealth.com
- cjohnson546007@direct.musc.edu
Organizations & group practices 17
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 Tidelands Health Family Medicine
- Family Medicine Physician
- Murrells Inlet, SC
- NPI 1235475930
-
dba Tidelands Georgetown Memorial Hospital
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
dba Tidelands Waccamaw Community Hospital
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Emergency Medicine Physician
- Huntsville, AL
- NPI 1548940497
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Hospitalist Physician
- Mobile, AL
- NPI 1669824934
-
- Internal Medicine Physician
- McMinnville, TN
- NPI 1740978501
Family Medicine
-
dba Tidelands Health Skilled Care
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
-
dba Tidelands Health Group
- Family Medicine Physician
- Georgetown, SC
- NPI 1881410587
-
dba Tidelands Health Family Medicine
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1780118414
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tidelands Health Skilled Care
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
Hospital
-
dba Tidelands Georgetown Memorial Hospital
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
dba Tidelands Waccamaw Community Hospital
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1295232684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421718",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294424203",
"telephone_number": "843-527-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 HOLMESTOWN RD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295887837",
"telephone_number": "843-652-8440",
"fax_number": "843-652-8441"
}
],
"practiceLocations": [
{
"address_1": "456 N Main St",
"address_purpose": "LOCATION",
"city": "Hemingway",
"state": "SC",
"postal_code": "295549190",
"country_code": "US",
"telephone_number": "843-558-9319",
"fax_number": "843-558-9818",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9699 Ocean HWY",
"address_purpose": "LOCATION",
"city": "Pawleys Island",
"state": "SC",
"postal_code": "295857425",
"country_code": "US",
"telephone_number": "843-237-4296",
"fax_number": "843-237-0495",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 Crow Ln Ste 301",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295771663",
"country_code": "US",
"telephone_number": "843-848-5300",
"fax_number": "843-848-5305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4070 Highway 17",
"address_purpose": "LOCATION",
"city": "Murrells Inlet",
"state": "SC",
"postal_code": "295765033",
"country_code": "US",
"telephone_number": "843-652-1000",
"fax_number": "843-520-8403",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1075 N Fraser St",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "SC",
"postal_code": "294402848",
"country_code": "US",
"telephone_number": "843-527-4442",
"fax_number": "843-527-4027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 Dick Pond Rd",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295886807",
"country_code": "US",
"telephone_number": "843-652-8100",
"fax_number": "843-652-8122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4367 Riverwood Dr Unit 110",
"address_purpose": "LOCATION",
"city": "Murrells Inlet",
"state": "SC",
"postal_code": "295764381",
"country_code": "US",
"telephone_number": "843-652-8046",
"fax_number": "843-357-9771",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 S Morgan Ave",
"address_purpose": "LOCATION",
"city": "Andrews",
"state": "SC",
"postal_code": "295102959",
"country_code": "US",
"telephone_number": "843-264-5253",
"fax_number": "843-264-5970",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11916 Highway 707 Ste D",
"address_purpose": "LOCATION",
"city": "Murrells Inlet",
"state": "SC",
"postal_code": "295769610",
"country_code": "US",
"telephone_number": "843-652-8450",
"fax_number": "843-652-8451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 15th St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120004",
"country_code": "US",
"telephone_number": "706-721-8623",
"fax_number": "706-721-1459",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1453 Harper St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120020",
"country_code": "US",
"telephone_number": "202-735-1128",
"fax_number": "346-205-0335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "606 Black River Rd",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "SC",
"postal_code": "294403368",
"country_code": "US",
"telephone_number": "843-527-7000",
"fax_number": "843-520-8403",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2347 S Highway 17",
"address_purpose": "LOCATION",
"city": "Murrells Inlet",
"state": "SC",
"postal_code": "295767611",
"country_code": "US",
"telephone_number": "843-357-2443",
"fax_number": "843-357-2132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHRISTOPHER",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "95482",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "98793",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D93248",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Memorial Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "606 Black River Rd",
"city": "Georgetown",
"state": "SC",
"country_code": "US",
"postal_code": "294403368",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Waccamaw Community Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4070 Highway 17",
"city": "Murrells Inlet",
"state": "SC",
"country_code": "US",
"postal_code": "295765033",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4367 Riverwood Dr Unit 110",
"city": "Murrells Inlet",
"state": "SC",
"country_code": "US",
"postal_code": "295764381",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "456 N Main St",
"city": "Hemingway",
"state": "SC",
"country_code": "US",
"postal_code": "295549190",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1075 N Fraser St",
"city": "Georgetown",
"state": "SC",
"country_code": "US",
"postal_code": "294402848",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4301 Dick Pond Rd",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295886807",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "701 S Morgan Ave",
"city": "Andrews",
"state": "SC",
"country_code": "US",
"postal_code": "295102959",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9699 Ocean HWY",
"city": "Pawleys Island",
"state": "SC",
"country_code": "US",
"postal_code": "295857425",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2200 Crow Ln Ste 301",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295771663",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11916 Highway 707 Ste D",
"city": "Murrells Inlet",
"state": "SC",
"country_code": "US",
"postal_code": "295769610",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2347 S Highway 17",
"city": "Murrells Inlet",
"state": "SC",
"country_code": "US",
"postal_code": "295767611",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson546007@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4320 Holmestown Rd",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295887837",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 31, 2025; 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.