NPIMap

Individual provider Active NPI

Gwendolyn Patterson Cobbs, M.D.

  • Gynecology Physician
  • Myrtle Beach, SC
National Provider Identifier
1295794386
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
84806 Issued in SC
Practice address
5046 Highway 17 Byp S Ste 202
Myrtle Beach, SC 29588-4503
Phone
(843) 293-0466
Fax
(843) 293-0534
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 101054118 VA
Gynecology Physician 207VG0400X 84806 SC Primary

Addresses

Primary practice location

5046 Highway 17 Byp S Ste 202
Myrtle Beach, SC 29588-4503

Mailing address

5046 Highway 17 Byp S Ste 202
Myrtle Beach, SC 29588-4503
Phone (843) 293-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220422002422 VA Practitioner - Obstetrics/Gynecology 9739247628 Reassigns benefits to 1 organization
I20220729001846 SC Practitioner - Obstetrics/Gynecology 9739247628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5046 Hwy 17 Byp S
Suite 202
Myrtle Beach, SC 29588-4503
Phone (843) 293-0466

Hospital & facility affiliations

  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Conway Medical Center Hospital, Conway, SC, CCN 420049
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101054118VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Valley Physicians Associates LLC CurrentSince Jun 26, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Obstetrics & Gynecology CurrentSince Apr 3, 2022 Accepting new patients
Clinch Valley Physicians Associates LLC Obstetrics & Gynecology Current Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 3, 2022 Accepting new patients
Dominion Gynecology LLC Obstetrics & Gynecology CurrentSince Aug 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5046 Highway 17 Byp S
Ste 202
Myrtle Beach, SC 29588
Phone (843) 293-0466

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

16000 Johnston Memorial Dr
Ste 200
Abingdon, VA 24211
Phone (276) 258-1000

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: gwendolyn.cobbs.1@19847.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24312/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gwendolyn.cobbs.1@24312.direct.athenahealth.com

Organizations & group practices 7

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1295794386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 HIGHWAY 17 BYP S STE 202",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884503",
            "telephone_number": "843-293-0466",
            "fax_number": "843-293-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 HIGHWAY 17 BYP S STE 202",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884503",
            "telephone_number": "843-293-0466",
            "fax_number": "843-293-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBBS",
        "first_name": "GWENDOLYN",
        "middle_name": "PATTERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "101054118",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "84806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.