Organization Active NPI

Venus Gynecology, LLC

  • Gynecology Physician
  • Myrtle Beach, SC
National Provider Identifier
1295392132
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
VENUS GYNECOLOGY, LLC
Practice address
8203 Nigels Dr Ste 203
Myrtle Beach, SC 29572-4179
Phone
(843) 268-2525
Fax
(843) 449-7313
NPI assigned
May 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Authorized official

Name
Kelly Corbett
Title
Office Manager
Phone
(843) 268-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

8203 Nigels Dr Ste 203
Myrtle Beach, SC 29572-4179

Mailing address

8203 Nigels Dr Ste 203
Myrtle Beach, SC 29572-4179
Phone (843) 268-2525

National Provider Directory

National Provider Directory

Locations

8203 Nigels Dr
Ste 203
Myrtle Beach, SC 29572
Phone (843) 268-2525

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1295392132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 NIGELS DR STE 203",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724179",
            "telephone_number": "843-268-2525",
            "fax_number": "843-449-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 NIGELS DR STE 203",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724179",
            "telephone_number": "843-268-2525",
            "fax_number": "843-449-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENUS GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-268-2525"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "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 May 28, 2019; 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.