Active NPI
Scott A Hollingsworth, M.D.
- Internal Medicine Physician
- Little River, SC
National Provider Identifier
1336145226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18608
- Practice address
- 3361 Highway 9 E
Little River, SC 29566-7826 - Phone
- (843) 497-5929
- Fax
- (843) 399-0123
- NPI assigned
- Jun 24, 2005
- Last updated
- Mar 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18608 | SC | Primary |
| Hospitalist Physician | 208M00000X | 18608 | SC |
Addresses
Primary practice location
3361 Highway 9 E
Little River, SC 29566-7826
Mailing address
PO Box 3439
North Myrtle Beach, SC 29582-0439
Phone (843) 839-4447
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336145226 | Medicaid | NC | |
| 186088 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18608 | SC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426809600000",
"number": "1336145226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3439",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295820439",
"telephone_number": "843-839-4447",
"fax_number": "843-399-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3361 HIGHWAY 9 E",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295667826",
"telephone_number": "843-497-5929",
"fax_number": "843-399-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGSWORTH",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2015-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "18608",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "18608",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336145226",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186088",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.