Individual provider Active NPI

Jill Aiken, MD

  • Pediatrics Physician
  • Myrtle Beach, SC
National Provider Identifier
1376597666
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18848 Issued in SC
Practice address
4320 Holmestown Rd
Myrtle Beach, SC 29588-7837
Phone
(843) 652-8440
NPI assigned
May 20, 2006
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 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 18848 SC Primary

Addresses

Primary practice location

4320 Holmestown Rd
Myrtle Beach, SC 29588-7837

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 652-8226

Other practice location 1

964 Ribaut Rd Ste 1
Beaufort, SC 29902-5425
Phone (843) 524-5437

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address jill.aiken@thg.eclinicaldirectplus.com
Direct Messaging Address jill.aiken@thg.eclinicaldirectplus.com
Direct Messaging Address jaiken29408@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jaiken29408@direct.musc.edu Direct Waccamaw Community Hospital
Direct Messaging Address jaiken29408@direct.musc.edu Direct Georgetown Memorial Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040916000751 SC Practitioner - Pediatric Medicine 4385611425 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18848SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC Pediatrics CurrentSince Jul 20, 2020 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
Georgetown Memorial Hospital CurrentSince Apr 1, 2020 Accepting new patients
Georgetown Physician Associates LLC Pediatrics CurrentSince Jul 20, 2020 Accepting new patients
Waccamaw Community Hospital CurrentSince Apr 1, 2020 Accepting new patients
Georgetown Memorial Hospital CurrentSince Apr 1, 2020 Accepting new patients
Anmed Health Past Accepting new patients

Locations

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4040 Highway 17
Murrells Inlet, SC 29576
Phone (843) 652-8160

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

4320 Holmestown Rd
Myrtle Beach, SC 29588
Phone (843) 546-3132

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Interoperability endpoints

  • Direct secure messaging: jaiken29408@direct.musc.edu
  • Direct secure messaging: jaiken85886@direct.anmedhealth.net
  • Direct secure messaging: jill.aiken@thg.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1376597666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-652-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 HOLMESTOWN RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887837",
            "telephone_number": "843-652-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "964 Ribaut Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299025425",
            "country_code": "US",
            "telephone_number": "843-524-5437",
            "fax_number": "843-524-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIKEN",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "18848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.aiken@thg.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4320 Holmestown Rd",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295887837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.aiken@thg.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "964 Ribaut Rd Ste 1",
            "city": "Beaufort",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299025425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaiken29408@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4320 Holmestown Rd",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295887837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaiken29408@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Waccamaw Community Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4070 Highway 17 Bypass",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaiken29408@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

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