Individual provider Active NPI

Jacob Elidge Enterkin, MD

  • Diagnostic Radiology Physician
  • Murrells Inlet, SC
National Provider Identifier
1306043096
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29855 Issued in SC
Practice address
4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone
(843) 652-1000
NPI assigned
Jun 27, 2007
Last updated
Apr 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29855 SC Primary

Addresses

Primary practice location

4070 Highway 17
Murrells Inlet, SC 29576-5033

Mailing address

PO Box 23321
New York, NY 10087-3321

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130917000469 SC Practitioner - Diagnostic Radiology 2769626530 Reassigns benefits to 1 organization
I20180123003151 LA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2769626530 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Brody School of Medicine at East Carolina University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, shared by 9 NPIs, 1,353 clinicians
Radiology ConsultantsGroup PAC ID 4587550496, 3 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.49 of 100Reported as group
Quality
85.05
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.31
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29855SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidelands and Medquest Joint Venture, LLC CurrentSince Jul 1, 2026 Accepting new patients
Ascension Open MRI, LLC. CurrentSince Feb 1, 2023 Accepting new patients
Louisiana Pet/CT Imaging of Lake Charles. LLC CurrentSince Jan 2, 2023 Accepting new patients
Ark-la-Tex Diagnostics, Inc. CurrentSince Jan 2, 2023 Accepting new patients
Doctors Imaging Services, LLC Diagnostic Radiology CurrentSince Jan 2, 2023 Accepting new patients
Northeast Imaging Center CurrentSince Jan 2, 2023 Accepting new patients
Northwest Imaging, LLC CurrentSince Feb 1, 2023 Accepting new patients
Green Clinic LLC CurrentSince Oct 28, 2024 Accepting new patients
River Bend Imaging LLC CurrentSince Jan 2, 2023 Accepting new patients
Tidelands Health Market Common LLC CurrentSince Jul 1, 2026 Accepting new patients
Imaging Affiliates of Baton Rouge, LTD. CurrentSince Feb 1, 2023 Accepting new patients
M. R. Imaging Systems, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Green Clinic LLC Family Medicine Current Accepting new patients
Central Imaging Center, LLC CurrentSince Jan 2, 2023 Accepting new patients
Radiology Consultants Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Gastrointestinal Specialists, a.M.C. CurrentSince Nov 1, 2023 Accepting new patients
Bluebonnet Imaging Center, LLC CurrentSince Jan 2, 2023 Accepting new patients
Capitol City Family Health Center Incorporated Past Accepting new patients
St. Christopher's Imaging, LLC Past Accepting new patients
CLHG - Minden, LLC Past Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

8044 Summa Ave
Bldg 1B
Baton Rouge, LA 70809
Phone (225) 761-7278

2005 Landry Dr
Bossier City, LA 71111
Phone (318) 752-7850

4204 Teuton St
Metairie, LA 70006
Phone (504) 455-6310

4241 Veterans Memorial Blvd
Ste 201
Metairie, LA 70006

4241 Vets Blvd
Ste 200
Metairie, LA 70006

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

118 Homer Rd
Minden, LA 71055
Phone (318) 329-4200

1200 S Farmerville St
Ruston, LA 71270
Phone (318) 251-6103

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

1460 E Bert Kouns Industrial Loop
Ste 708
Shreveport, LA 71105
Phone (318) 425-1001

1500 Line Ave
Ste 100
Shreveport, LA 71101
Phone (318) 635-3052

1500 Line Ave
Ste 200
Shreveport, LA 71101
Phone (318) 629-5555

1500 Line Ave
Ste 206
Shreveport, LA 71101
Phone (318) 213-3800

3217 Mabel St
Shreveport, LA 71103

8383 Millicent Way
Ste B
Shreveport, LA 71115
Phone (318) 681-4282

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1306043096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765033",
            "telephone_number": "843-652-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTERKIN",
        "first_name": "JACOB",
        "middle_name": "ELIDGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "29855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4070 Highway 17",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.