Beaufort Orthopaedic Sports and Spine Center LLC
Organization Active NPI Orthopaedic Surgery Physician · Bluffton, SC
NPI 1497412019 · NPPES record last updated Aug 30, 2026
Key facts
- NPI
- 1497412019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- BEAUFORT ORTHOPAEDIC SPORTS AND SPINE CENTER LLC
- Practice address
- 4812 Bluffton Pkwy
Bluffton, SC 29910 - Phone
- (843) 837-4300
- NPI assigned
- Nov 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Stephanie Griggs
- Title
- Practice Manager
- Phone
- (843) 525-0902
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 69
-
Colleen Verwer Auger, O.T.
-
Jordan Henry Bates, DPT
-
Emre Caglayan, PA-C
-
Bryan Andrew Castro, M.D.
-
Mark T Dean, MD
-
Daniel John Del Gaizo, M.D.
-
Grace Dimarino, DPT
-
Devin Alexander Dukes, PA-C
-
Christopher George Fisher, M.P.T.
-
Cheryl G Hamel, DPT
-
Rey Holcomb, PT
-
Geoffrey Scott Honeysett, DPT,PT
-
Marco Antonio Italia, PT,DPT
-
Brad D Keisling, MSPT,CSCS
-
James Langford III, PA-C
-
Samantha Lucey, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220322000595 | SC | DME Supplier - Physician - General Practice | 1355301771 | Practice locations: Bluffton, SC |
National Provider Directory
- Tax ID family
- Beaufort Ortho Sprts an
Locations
11 Arley Way
Ste 102B
Bluffton, SC 29910
Phone (843) 681-2363
4812 Bluffton Pkwy
Bluffton, SC 29910
Phone (843) 837-4300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
4812 Bluffton Pkwy
Bluffton, SC 29910
Mailing address
1076 Ribaut Rd Ste 101
Beaufort, SC 29902-5477
Phone (843) 525-0902
NPI Registry JSON
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788048000000",
"number": "1497412019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 RIBAUT RD STE 101",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025477",
"telephone_number": "843-525-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4812 BLUFFTON PKWY",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "29910",
"telephone_number": "843-837-4300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUFORT ORTHOPAEDIC SPORTS AND SPINE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-18",
"last_updated": "2026-08-30",
"certification_date": "2026-08-30",
"status": "A",
"authorized_official_last_name": "GRIGGS",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "843-525-0902"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, SC
- Melanie Batista
- Celia Beauchamp
- Beaufort County Memorial Hospital
- Beaufort County Memorial Hospital
- Beaufort Home Health Partners L.L.C.
- Beaufort Orthopaedic Sports and Spine Center LLC
- Daniela Becker
- Belfair Dental Care PA
- Belfair Eye Care Center
- Laura Belka
All providers in Bluffton, SC · Orthopaedic Surgery Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.