NPIMap

Individual provider Active NPI

Chris Boggs, MD

  • Family Medicine Physician
  • Little River, SC
National Provider Identifier
1326068362
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17630 Issued in SC
Practice address
4237 River Hills Dr Ste 150
Little River, SC 29566-6446
Phone
(843) 281-2778
Fax
(843) 281-2785
NPI assigned
Jul 20, 2006
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17630 SC Primary

Addresses

Primary practice location

4237 River Hills Dr Ste 150
Little River, SC 29566-6446

Mailing address

4237 River Hills Dr Ste 150
Little River, SC 29566-6446
Phone (843) 281-2778

Other identifiers 1

IdentifierTypeStateIssuer
T13027MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHRIS.BOGGS@hca5.eclinicaldirectplus.com

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
I20041014000457 SC Practitioner - Family Practice 4082674015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waterway Primary Care,LLCGroup PAC ID 4789807231, 2 clinicians

Practice addresses (Care Compare)

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.72 of 100Reported as individual
Quality
99.36
Improvement activities
40
Cost
69.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17630SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Primary Care, LLC CurrentSince Jan 12, 2020 Accepting new patients
Anmed Health Family Medicine Past Accepting new patients
Anmed Health Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4237 River Hills Dr
Ste 150
Little River, SC 29566
Phone (843) 281-2778

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: chris.boggs@hca5.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1326068362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 RIVER HILLS DR STE 150",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666446",
            "telephone_number": "843-281-2778",
            "fax_number": "843-281-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 RIVER HILLS DR STE 150",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666446",
            "telephone_number": "843-281-2778",
            "fax_number": "843-281-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "CHRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T13027",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHRIS.BOGGS@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4237 River Hills Dr Ste 150",
            "city": "Little River",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295666446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.