Active NPI
Edward R McCarthy, D.O.
- Family Medicine Physician
- Myrtle Beach, SC
National Provider Identifier
1295795920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0584
- Practice address
- 106 Lansford CT
Suite 100
Myrtle Beach, SC 29588 - Phone
- (843) 293-8850
- Fax
- (843) 293-8860
- NPI assigned
- Mar 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0584 | SC | Primary |
| Family Medicine Physician | 207Q00000X | 204061 | NC |
Addresses
Primary practice location
106 Lansford CT
Suite 100
Myrtle Beach, SC 29588
Mailing address
106 Lansford CT
Suite 100
Myrtle Beach, SC 29588
Phone (843) 293-8850
Other practice location 1
233 S French Broad Ave
Asheville, NC 28801-3901
Phone (828) 254-0749
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080172640 | Other | SC | RAIL ROAD MEDICARE |
| 193125 | Other | SC | MEDCOST |
| 153867800 | Other | SC | DEPARTMENT OF LABOR |
| 8184888 | Other | SC | CIGNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
106 Lansford CT
Suite 100
Myrtle Beach, SC 29588-3501
Phone (843) 293-8850
Hospital & facility affiliations
- Centerwell Home Health
- Amedisys Home Health of Conway
- Well Care Home Health of the Lowcountry Inc
- Grand Strand Regional Medical Center
- Tidelands Waccamaw Community Hospital
- Tidelands Georgetown Memorial Hospital
- Conway Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 70 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204061 | NC | MD | Family Medicine Physician |
| 0584 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Center, LLC | Family Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1093887234
-
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1598742041
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Conway, SC
- NPI 1316905573
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1295795920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 LANSFORD CT",
"address_2": "SUITE 100",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29588",
"telephone_number": "843-293-8850",
"fax_number": "843-293-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 LANSFORD CT",
"address_2": "SUITE 100",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29588",
"telephone_number": "843-293-8850",
"fax_number": "843-293-8860"
}
],
"practiceLocations": [
{
"address_1": "233 S French Broad Ave",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288013901",
"country_code": "US",
"telephone_number": "828-254-0749",
"fax_number": "828-254-0762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCARTHY",
"first_name": "EDWARD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "0584",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "204061",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "080172640",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "193125",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "153867800",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8184888",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
- Kimeron McCallum Mishoe, RN
- Hannah Marie McCallum, NP
- Edwin Lee McCampbell, M.D.
- Ulysse George McCann III, MD
- McCarthy Counseling Associates, PA
- Jennifer Ann McCarthy, MS LPC
- Jennifer L McCarthy, FNP-C
- Robert Edward McCarthy, PHD LPC
- Tiffany McCaskill, NURSE PRACTITIONER
- Christy Lynn McClure, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.