NPIMap

Individual provider Active NPI

Robert Jansen

  • Urology Physician
  • Myrtle Beach, SC
National Provider Identifier
1316180847
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD36653 Issued in SC
Practice address
823 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(843) 449-1010
Fax
(843) 497-6171
NPI assigned
Apr 14, 2009
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD36653 SC Primary

Addresses

Primary practice location

823 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

823 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 449-1010

Other identifiers 5

IdentifierTypeStateIssuer
1316180847MedicaidNC
RR MEDICAREOtherSCP01378093
1010218OtherSCWELLCARE
4789482OtherSCAETNA
366534MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141002000590 SC Practitioner - Urology 9335369917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of South Carolina School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Auc Urologists LLCGroup PAC ID 3375986953, 29 clinicians

Practice addresses (Care Compare)

3600 Sea Mountain Hwy
Suite D
Little River, SC 29566-8161
Phone (843) 347-2450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD36653SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Urology Clinics LLC Urology CurrentSince Aug 4, 2014 Accepting new patients
Auc Urologists LLC Current Accepting new patients
Auc Urologists LLC Urology CurrentSince Jan 26, 2024 Accepting new patients
Atlantic Urology Clinics LLC CurrentSince Aug 4, 2014 Accepting new patients
Parkway Surgery Center Past Accepting new patients
Waccamaw Dermatology, LLC PastSince Nov 1, 2022 Accepting new patients

Locations

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

135 Professional Park Dr
Conway, SC 29526
Phone (843) 347-8724

3600 Sea Mountain Hwy
Ste D
Little River, SC 29566
Phone (843) 399-8930

1255 Tadlock Dr
Murrells Inlet, SC 29576
Phone (843) 293-0446

5046 Highway 17 Byp S
Ste 200
Myrtle Beach, SC 29588
Phone (843) 839-3501

823 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 449-1010

827 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 286-2020

Organizations & group practices 6

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1316180847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-449-1010",
            "fax_number": "843-497-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-449-1010",
            "fax_number": "843-497-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "MD36653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316180847",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P01378093",
            "identifier": "RR MEDICARE",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1010218",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4789482",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366534",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.