Active NPI
Jeff L. Eggart, M.D.
- Specialist
- Surfside Beach, SC
National Provider Identifier
1295798767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9990
- Practice address
- 1945 Glenns Bay Rd
Surfside Beach, SC 29575-4833 - Phone
- (843) 650-1700
- Fax
- (843) 650-4228
- NPI assigned
- Apr 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9990 | SC | Primary |
Addresses
Primary practice location
1945 Glenns Bay Rd
Surfside Beach, SC 29575-4833
Mailing address
1945 Glenns Bay Rd
Surfside Beach, SC 29575-4833
Phone (843) 650-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099903 | Medicaid | SC |
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
- Obstetrics/Gynecology
- Education
- Louisiana State University School of Medicine in Shreveport, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
207 Chartwell CT
Myrtle Beach, SC 29588-7273
Phone (843) 650-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Myrtle Beach, SC
- NPI 1346941580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295798767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 GLENNS BAY RD",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295754833",
"telephone_number": "843-650-1700",
"fax_number": "843-650-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 GLENNS BAY RD",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295754833",
"telephone_number": "843-650-1700",
"fax_number": "843-650-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGART",
"first_name": "JEFF",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "9990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099903",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Surfside Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.