Active NPI
Justin Schevers, DO
- Emergency Medicine Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2023-00882
- Practice address
- 802 82ND Parkway
Myrtle Beach, SC 29572 - Phone
- (772) 692-1904
- NPI assigned
- Mar 31, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2023-00882 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
802 82ND Parkway
Myrtle Beach, SC 29572
Mailing address
1315 N Duval St Apt a
Tallahassee, FL 32303-5693
Phone (772) 370-4816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Alabama College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone (828) 286-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Cheraw | Single Specialty | Current | Accepting new patients |
| McLeod Health Cheraw | Single Specialty | Current | Accepting new patients |
| Emergency Coverage, LLC | Single Specialty | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Single Specialty | Current | Accepting new patients |
| Emergency Coverage Services, PC | Single Specialty | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Cheraw, SC
- NPI 1275912974
Single Specialty
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
NC, Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rutherfordton, NC
- NPI 1245321181
-
- Critical Access Hospital
- Columbus, NC
- NPI 1891523718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1407484835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 N DUVAL ST APT A",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323035693",
"telephone_number": "772-370-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 82ND PARKWAY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29572",
"telephone_number": "772-692-1904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEVERS",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2023-00882",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.