Meggett Tiva LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2255 Issued in SC

Legal business name

MEGGETT TIVA LLC

Practice address

4731 Highway 17
Murrells Inlet, SC 29576-5090

Phone

(843) 839-7246

Fax

(843) 491-4023

NPI assigned

Aug 24, 2016

Last updated

Aug 24, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Raedord Davis, CRNANPI 1609820588

Title

Owner

Phone

(843) 860-0324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David R Davis, CRNA

  • Certified Registered Nurse Anesthetist
  • Myrtle Beach, SC
  • NPI 1609820588
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1396290995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4860",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762698",
            "telephone_number": "843-651-2624",
            "fax_number": "843-491-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765090",
            "telephone_number": "843-839-7246",
            "fax_number": "843-491-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGGETT TIVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAEDORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-860-0324",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "2255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen E McCutcheon, MD
• Jane McGee, CCC/SLP
• Me Pivot Holdings LLC (Miracle Ear)
• R, Jason Meares, DDS
• Medical Diagnostic Solutions, Inc.
• Karen Evaskitis Menn, D.O.
• Matthew J Metz, MD
• Gretchen A Meyer, M.D.
• Daniel Christopher Michalski, AGACNP
• Edward J Mikol, MD

• Certified Registered Nurse Anesthetist in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.