Individual provider Active NPI

John Garnett Ramsbottom Jr., MD

  • Family Medicine Physician
  • North Myrtle Beach, SC
National Provider Identifier
1437277753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9264 Issued in SC
Practice address
86 Cedar Ave
North Myrtle Beach, SC 29582-3112
Phone
(843) 249-2451
Fax
(843) 249-4100
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 9264 SC Primary

Addresses

Primary practice location

86 Cedar Ave
North Myrtle Beach, SC 29582-3112

Mailing address

86 Cedar Ave
North Myrtle Beach, SC 29582-3112
Phone (843) 249-2451

Other identifiers 2

IdentifierTypeStateIssuer
P00076369OtherSCRR MEDICARE
092642MedicaidSC

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
I20110223000187 SC Practitioner - Family Practice 7911188016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

86 Cedar Ave
North Myrtle Beach, SC 29582-3112
Phone (843) 249-2451

Hospital & facility affiliations

  • Amedisys Home Health of Myrtle Beach Home health agency, Myrtle Beach, SC, CCN 427067
  • Well Care Home Health of the Lowcountry Inc Home health agency, Myrtle Beach, SC, CCN 427138
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9264SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Myrtle Beach Family Practice Family Medicine CurrentSince Aug 1, 1999 Accepting new patients

Locations

86 Cedar Ave
North Myrtle Beach, SC 29582
Phone (843) 249-2451

Interoperability endpoints

  • Direct secure messaging: john.ramsbottom.jr.1@16009.direct.athenahealth.com

Organizations & group practices 1

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437277753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 CEDAR AVE",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823112",
            "telephone_number": "843-249-2451",
            "fax_number": "843-249-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 CEDAR AVE",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823112",
            "telephone_number": "843-249-2451",
            "fax_number": "843-249-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSBOTTOM",
        "first_name": "JOHN",
        "middle_name": "GARNETT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "9264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00076369",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092642",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.