Organization Active NPI

Carolina Forest Urgent Care LLC

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1295284784
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAROLINA FOREST URGENT CARE LLC
Practice address
185 Fresh Dr
Suite a
Myrtle Beach, SC 29579-4436
Phone
(843) 945-3030
Fax
(843) 492-4479
NPI assigned
Sep 26, 2016
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Juliana R Gregory
Title
RCM
Phone
(854) 223-4831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

185 Fresh Dr
Suite a
Myrtle Beach, SC 29579-4436

Mailing address

PO Box 2128
Pawleys Island, SC 29585-2128
Phone (854) 223-4831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171207000203 SC Part B Supplier - Clinic/Group Practice 6507123189 Receives reassigned benefits from 3 practitioners
Practice locations: Myrtle Beach, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2191146Carolina Forest Urgent Care, LLC185 Fresh Drive,, Myrtle Beach, SC 29579Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory

Locations

11405 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 979-4006

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAFGDD

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1295284784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2128",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295852128",
            "telephone_number": "854-223-4831",
            "fax_number": "854-212-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 FRESH DR",
            "address_2": "SUITE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794436",
            "telephone_number": "843-945-3030",
            "fax_number": "843-492-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FOREST URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "854-223-4831"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.