Individual provider Active NPI

David J. Hunt, DO

  • Pediatrics Physician
  • Myrtle Beach, SC
National Provider Identifier
1316083330
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
90065 Issued in SC
Practice address
4022 Postal Way
Ste C
Myrtle Beach, SC 29579-3537
Phone
(843) 903-4111
Fax
(843) 903-4242
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 90065 SC Primary

Addresses

Primary practice location

4022 Postal Way
Ste C
Myrtle Beach, SC 29579-3537

Mailing address

300 Singleton Ridge Rd
Attention PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

124 Professional Park Dr
Ste A
Conway, SC 29526-9260
Phone (843) 234-8788

Other identifiers 2

IdentifierTypeStateIssuer
DH01325MedicaidRI
900653MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, SC2 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
I20150220000547 RI Practitioner - Pediatric Medicine 4587989298
I20240531003337 SC Practitioner - Pediatric Medicine 4587989298 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90065SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Coastal Medical Physicians, Inc. Pediatrics CurrentSince Apr 25, 2021 Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Apr 25, 2021 Accepting new patients
Conway Hospital, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Conway Hospital, Inc. Past Accepting new patients

Locations

900 Warren Ave
Ste 200
East Providence, RI 02914
Phone (401) 421-6481

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

176 Toll Gate Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-9240

124 Professional Park Dr
#A
Conway, SC 29526
Phone (843) 234-8788

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

4022 Postal Way
Ste C
Myrtle Beach, SC 29579
Phone (843) 347-8037

4022 Postal Way
Myrtle Beach, SC 29579
Phone (843) 236-0000

Interoperability endpoints

  • Direct secure messaging: dhunt@wih.cernerdirect.carene.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1316083330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PNS CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 POSTAL WAY",
            "address_2": "STE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793537",
            "telephone_number": "843-903-4111",
            "fax_number": "843-903-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Professional Park Dr",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295269260",
            "country_code": "US",
            "telephone_number": "843-234-8788",
            "fax_number": "843-234-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "DAVID",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "90065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DH01325",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900653",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.