NPIMap

Organization Active NPI

Inlet Medical Associates

  • Specialist
  • Murrells Inlt, SC
National Provider Identifier
1497734578
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12346 Issued in SC
Legal business name
INLET MEDICAL ASSOCIATES
Practice address
912 Inlet Square Drive
Murrells Inlt, SC 29576-5017
Phone
(843) 651-4111
Fax
(843) 651-1047
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. William J Epperson, MDNPI 1740277508
Title
Owner
Phone
(843) 651-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 12346 SC Primary

Addresses

Primary practice location

912 Inlet Square Drive
Murrells Inlt, SC 29576-5017

Mailing address

Box 107
4728 Jenn Dr
Myrtle Beach, SC 29577-5714
Phone (843) 236-8888

Other identifiers 1

IdentifierTypeStateIssuer
GP0461MedicaidSC

National Provider Directory

National Provider Directory

Locations

4728 Jenn Dr
Ste 107
Myrtle Beach, SC 29577

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1497734578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 107",
            "address_2": "4728 JENN DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775714",
            "telephone_number": "843-236-8888",
            "fax_number": "843-236-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 INLET SQUARE DRIVE",
            "city": "MURRELLS INLT",
            "state": "SC",
            "postal_code": "295765017",
            "telephone_number": "843-651-4111",
            "fax_number": "843-651-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLET MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-651-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "12346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0461",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlt, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.