Individual provider Active NPI

David Ralph Pardue

  • Emergency Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1407315286
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2023-01955 Issued in NC
Practice address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(843) 692-1752
NPI assigned
Mar 19, 2019
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2023-01955 NC Primary
Emergency Medicine Physician 207P00000X MDO.82171 SC

Addresses

Primary practice location

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

238 Harbison Cir
Myrtle Beach, SC 29579-7930
Phone (919) 306-5463

Other practice location 1

800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-1000

Other practice location 2

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8000

Other practice location 3

501 S Poplar St
Elizabethtown, NC 28337-9375
Phone (910) 862-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210802002410 SC Practitioner - Emergency Medicine 2365772662 Reassigns benefits to 2 organizations
I20231002003773 NC Practitioner - Emergency Medicine 2365772662 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDO.82171SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
McLeod Health Cheraw CurrentSince Jul 26, 2021 Accepting new patients
Cfvhs Ed Physicians Emergency Medicine CurrentSince Aug 19, 2023 Accepting new patients
McLeod Health Cheraw Emergency Medicine CurrentSince Jul 26, 2021 Accepting new patients
Cfvhs Ed Physicians Emergency Medicine CurrentSince Aug 19, 2023 Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

806 Highway 17 S
North Myrtle Beach, SC 29582
Phone (703) 209-3963

Interoperability endpoints

  • Direct secure messaging: dpardue115702@capefearvalley.direct-ci.com
  • Direct secure messaging: dpardue25381@directmcleodehealth.org

Organizations & group practices 5

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1407315286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 HARBISON CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797930",
            "telephone_number": "919-306-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-1752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Tilghman Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345510",
            "country_code": "US",
            "telephone_number": "910-892-1000",
            "fax_number": "910-891-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-8000",
            "fax_number": "910-321-6265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Poplar St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379375",
            "country_code": "US",
            "telephone_number": "910-862-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARDUE",
        "first_name": "DAVID",
        "middle_name": "RALPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2023-01955",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "MDO.82171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.