Individual provider Active NPI

Robert E Kimpton, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1407916133
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23645 Issued in SC
Practice address
185 Fresh Dr Ste a
Myrtle Beach, SC 29579-4436
Phone
(854) 223-4833
Fax
(843) 492-4479
NPI assigned
Dec 11, 2006
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23645 SC Primary
General Practice Physician 208D00000X 23645 SC

Addresses

Primary practice location

185 Fresh Dr Ste a
Myrtle Beach, SC 29579-4436

Mailing address

PO Box 2128
Pawleys Island, SC 29585-2128
Phone (854) 223-4831

Other identifiers 2

IdentifierTypeStateIssuer
141965MedicaidSC
L36389MedicaidSC

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
I20040616000299 SC Practitioner - Family PracticePractitioner - Gastroenterology 4385628445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Gastroenterology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8740 Rivers Ave
North Charleston, SC 29406-9211
Phone (843) 377-2406

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23645SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Express - North Charleston LLC CurrentSince May 19, 2022 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince May 19, 2022 Accepting new patients
Coastal Carolina Primary Care, LLC CurrentSince Sep 28, 2010 Accepting new patients
Coastal Carolina Primary Care, LLC Family Medicine CurrentSince Sep 28, 2010 Accepting new patients
Strand Urgent Care LLC Family Medicine CurrentSince Jun 7, 2026 Accepting new patients
Bountyland Medical Center LLC PastSince Dec 1, 2000 Accepting new patients
Bounty Land Medical Centers LLC PastSince Nov 25, 2025 Accepting new patients
M J Flood MD, LLC Family Medicine PastSince Apr 11, 2021 Accepting new patients

Locations

1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246

5046 Highway 17 Byp S
Ste 100
Myrtle Beach, SC 29588
Phone (843) 293-5100

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

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411

Organizations & group practices 8

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1407916133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2128",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295852128",
            "telephone_number": "854-223-4831",
            "fax_number": "854-212-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 FRESH DR STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794436",
            "telephone_number": "854-223-4833",
            "fax_number": "843-492-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPTON",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23645",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "23645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141965",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L36389",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.