Active NPI
David Mark Weitzman, M.D.
- Emergency Medicine Physician
- North Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 39135
- Practice address
- 1016 2ND Ave N Ste 203
North Myrtle Beach, SC 29582-3288 - Phone
- (843) 222-5395
- Fax
- (866) 340-0296
- NPI assigned
- Sep 1, 2009
- Last updated
- Jul 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01071702-A | IN | |
| Emergency Medicine Physician | 207P00000X | 71752 | GA | |
| Emergency Medicine Physician | 207P00000X | 39135 | SC | Primary |
| Emergency Medicine Physician | 207P00000X | 53530 | WI | |
| Family Medicine Physician | 207Q00000X | 53530 | WI | |
| Family Medicine Physician | 207Q00000X | 39135 | SC | |
| Family Medicine Physician | 207Q00000X | 71752 | GA | |
| Family Medicine Physician | 207Q00000X | 01071702 | IN | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 71752 | GA | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 53530 | WI | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 39135 | SC | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 01071702 | IN | |
| Aerospace Medicine Physician | 2083A0100X | 39135 | SC | |
| Vascular Surgery Physician | 2086S0129X | 71752 | GA | |
| Vascular Surgery Physician | 2086S0129X | 39135 | SC |
Addresses
Primary practice location
1016 2ND Ave N Ste 203
North Myrtle Beach, SC 29582-3288
Mailing address
4701 S Ocean Blvd Apt 5F
North Myrtle Beach, SC 29582-5367
Phone (843) 222-5395
Other practice location 1
4701 S Ocean Blvd Apt 5F
North Myrtle Beach, SC 29582-5367
Phone (843) 222-5395
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01071702A | Other | IN | IN MED LICENSE |
| 53530-20 | Other | WI | STATE OF WISCONSIN |
| 071752 | Other | GA | GA MED LIC |
| 39135 | Other | SC | SC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01071702-A | IN | MD | Emergency Medicine Physician |
| 01071702 | IN | MD | Family Medicine Physician |
| 53530 | WI | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgan County Georgia Hospital Authority | Single Specialty | Current | Accepting new patients |
| Expert Witness Services LLC | Single Specialty | Current | Accepting new patients |
| Coastal House Calls | Single Specialty | Current | Accepting new patients |
| USA Vein Clinics of Decatur LLC | Single Specialty | Current | Accepting new patients |
| Pic Indiana PC | Single Specialty | Current | Accepting new patients |
| Pic Wisconsin SC | Single Specialty | Past | Accepting new patients |
Locations
495 Winn Way
Ste 220
Decatur, GA 30030
Phone (404) 418-4328
1300 Ernest W Barrett Pkwy NW
Ste 230C
Kennesaw, GA 30152
Phone (678) 385-4670
771 Old Norcross Rd
Ste 340C
Lawrenceville, GA 30046
Phone (678) 273-7506
1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135
1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115
1991 Glenns Bay Rd
Ste 102B
Myrtle Beach, SC 29575
Phone (843) 410-0330
1016 2nd Ave N
Ste 203
North Myrtle Beach, SC 29582
Phone (843) 222-5395
802 41st Ave S
North Myrtle Beach, SC 29582
Phone (843) 491-3007
802 41st Ave S
Ste 101
North Myrtle Beach, SC 29582
Phone (843) 491-3007
Organizations & group practices 6
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.
-
dba Morgan Medical Center
- Family Medicine Physician
- Madison, GA
- NPI 1083080105
Single Specialty
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1942546890
Single Specialty
-
- Vascular Surgery Physician
- Decatur, GA
- NPI 1912301003
Single Specialty
-
dba David Weitzman MD
- Medical Specialty Clinic/Center
- North Myrtle Beach, SC
- NPI 1366969438
Single Specialty
-
- Geriatric Psychiatry Physician
- Murrells Inlet, SC
- NPI 1750803243
Single Specialty
-
dba Physicians Urgent Care
- Urgent Care Clinic/Center
- Brookfield, WI
- NPI 1124678354
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1376776781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 S OCEAN BLVD APT 5F",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295825367",
"telephone_number": "843-222-5395",
"fax_number": "866-340-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 2ND AVE N STE 203",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823288",
"telephone_number": "843-222-5395",
"fax_number": "866-340-0296"
}
],
"practiceLocations": [
{
"address_1": "4701 S Ocean Blvd Apt 5F",
"address_purpose": "LOCATION",
"city": "North Myrtle Beach",
"state": "SC",
"postal_code": "295825367",
"country_code": "US",
"telephone_number": "843-222-5395",
"fax_number": "866-340-0296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEITZMAN",
"first_name": "DAVID",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-01",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01071702-A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "71752",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "39135",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "53530",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "53530",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "39135",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "71752",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01071702",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "GA",
"license": "71752",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "WI",
"license": "53530",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "SC",
"license": "39135",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "IN",
"license": "01071702",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "SC",
"license": "39135",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "71752",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "SC",
"license": "39135",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN MED LICENSE",
"identifier": "01071702A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN",
"identifier": "53530-20",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA MED LIC",
"identifier": "071752",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC LICENSE",
"identifier": "39135",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.