Jill Aiken, MD
Individual provider Active NPI Pediatrics Physician · Myrtle Beach, SC
NPI 1376597666 · NPPES record last updated Dec 13, 2024
Key facts
- NPI
- 1376597666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 18848 (SC)
- Practice address
- 4320 Holmestown Rd
Myrtle Beach, SC 29588-7837 - Phone
- (843) 652-8440
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040916000751 | SC | Practitioner - Pediatric Medicine | 4385611425 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18848 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Physician Associates, LLC | Pediatrics | Current |
Accepting new patients |
| Georgetown Memorial Hospital | Current |
Accepting new patients | |
| Georgetown Memorial Hospital | Current |
Accepting new patients | |
| Georgetown Physician Associates, LLC | Current | Accepting new patients | |
| Waccamaw Community Hospital | Current |
Accepting new patients | |
| Georgetown Physician Associates LLC | Pediatrics | Current |
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) 652-8120
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
- jaiken85886@direct.anmedhealth.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18848 | SC | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188484 | Medicaid | SC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 |
Other providers in Myrtle Beach, SC
- Agile Behavior Consultation, LLC
- Rishabh Agrawal
- Victor Jose Aguin Melendez
- Jessica Dawn Aguirre
- Destiny Aiken
- Kalah Ainsworth
- Dalal A Akoury
- Michael Alessi
- Ashley Cannon Alexander
- Patsy Gardner Alexander
All providers in Myrtle Beach, SC · Pediatrics 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 Dec 13, 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.