Hilton Head Regional Physician Group LLC
Organization Active NPI Neurology Physician · Hilton Head, SC
NPI 1346011012 · NPPES record last updated Jan 24, 2024
Key facts
- NPI
- 1346011012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- HILTON HEAD REGIONAL PHYSICIAN GROUP LLC
- Practice address
- 8 Hospital Center Blvd Ste 150
Hilton Head, SC 29926-8701 - Phone
- (843) 681-4966
- Fax
- (843) 681-6387
- NPI assigned
- Jan 11, 2024
- Organization subpart
- No
Authorized official
- Name
- Doreatha Rogers
- Title
- RCS Manager
- Phone
- (980) 302-7992
Other NPIs on the same Medicare enrollment 38
Corporate family (same tax ID) 24
Practitioners 3
-
Claudel Gratia, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240214000643 | SC | Part B Supplier - Clinic/Group Practice | 9234573676 |
Receives reassigned benefits from 173 practitioners 38 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Okatie, SC; Hilton Head Island, SC; Hilton Head, SC; Hardeeville, SC; Beaufort, SC; Bluffton, SC; Hampton, SC |
National Provider Directory
- Tax ID family
- Hilton Head Regional Physician Group LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
8 Hospital Center Blvd Ste 150
Hilton Head, SC 29926-8701
Mailing address
PO Box 37643
Belfast, ME 04915-1218
Other names
- Medical Associates of the Lowcountry Neurology
Other providers in Hilton Head, SC
- Hilton Head Plastic Surgery, LLC
- Hilton Head Regional OB/GYN Partners LLC
- Hilton Head Regional Physician Group LLC
- Hilton Head Regional Physician Group LLC
- Hilton Head Regional Physician Group LLC
- Hilton Head Regional Physician Group LLC
- Hilton Head Regional Physician Group LLC
- Hilton Head Regional Physician Group LLC
- Hilton Head Regional Physician Group LLC
- Hilton Head Regional Physician Group LLC
All providers in Hilton Head, SC · Neurology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.