Individual provider Active NPI

Chad R. Huberty, M.D.

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1407852304
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26640 Issued in SC
Practice address
945 82ND Pkwy
Myrtle Beach, SC 29572-4610
Phone
(843) 497-5929
Fax
(843) 839-6375
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26640 SC Primary

Addresses

Primary practice location

945 82ND Pkwy
Myrtle Beach, SC 29572-4610

Mailing address

PO Box 3439
North Myrtle Beach, SC 29582-0439
Phone (843) 839-4447

Other identifiers 1

IdentifierTypeStateIssuer
266401MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000769 SC Practitioner - Family Practice 4880588169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Strand Physician Specialists PAGroup PAC ID 1153226576, 56 clinicians

Practice addresses (Care Compare)

4591 Socastee Blvd
Myrtle Beach, SC 29588-7209
Phone (843) 497-5929

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Myrtle Beach, SC, CCN 427045
  • Well Care Home Health of the Lowcountry Inc Home health agency, Myrtle Beach, SC, CCN 427138
  • Amedisys Home Health of Conway Home health agency, Conway, SC, CCN 427112
  • Medical Services of America Home Health - Coastal Home health agency, Myrtle Beach, SC, CCN 427025
  • Amedisys Home Health of Myrtle Beach Home health agency, Myrtle Beach, SC, CCN 427067
  • Sunrise Hospice Hospice, Myrtle Beach, SC, CCN 421652
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Conway Medical Center Hospital, Conway, SC, CCN 420049
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26640SCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strand Physician Specialists, PA Family Medicine CurrentSince Jan 15, 2004 Accepting new patients
Strand Physician Specialists, PA Family Medicine CurrentSince Jan 15, 2004 Accepting new patients
Strand Physician Specialists, PA Current Accepting new patients

Locations

945 82nd Pkwy
Myrtle Beach, SC 29572

4591 Socastee Blvd
Myrtle Beach, SC 29588

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

5023 Carolina Forest Blvd
Myrtle Beach, SC 29579
Phone (843) 839-4447

Interoperability endpoints

  • Direct secure messaging: chad.huberty.1@842.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1407852304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3439",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295820439",
            "telephone_number": "843-839-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724610",
            "telephone_number": "843-497-5929",
            "fax_number": "843-839-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERTY",
        "first_name": "CHAD",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "26640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266401",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.