NPIMap

Organization Active NPI

Physicians at Home PC

  • Internal Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1487073193
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICIANS AT HOME PC
Practice address
9021 Bella Verde CT
Myrtle Beach, SC 29579-5110
Phone
(843) 516-2024
NPI assigned
Apr 9, 2014
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Alitza Rivera
Title
Office Manager
Phone
(843) 516-2024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X SC Primary

Addresses

Primary practice location

9021 Bella Verde CT
Myrtle Beach, SC 29579-5110

Mailing address

PO Box 70157
Myrtle Beach, SC 29572-0021
Phone (843) 516-2024

National Provider Directory

National Provider Directory

Locations

9100 White Bluff Rd
Savannah, GA 31406
Phone (843) 883-5800

9100 White Bluff Rd
Ste 203
Savannah, GA 31406

9100 White Bluff Rd
Ste 305
Savannah, GA 31406
Phone (912) 925-9181

667 S Main St
Swainsboro, GA 30401
Phone (478) 237-7798

1751 Meriweather Dr
Watkinsville, GA 30677
Phone (229) 560-2310

1510 N Fant St
Anderson, SC 29621
Phone (864) 226-1219

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1487073193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70157",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295720021",
            "telephone_number": "843-516-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9021 BELLA VERDE CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795110",
            "telephone_number": "843-516-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS AT HOME PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ALITZA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-516-2024"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.