Coastal Carolina Primary Care of Murrells Inlet

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COASTAL CAROLINA PRIMARY CARE OF MURRELLS INLET

Practice address

4111 Murrells Inlet Rd
Murrells Inlet, SC 29576-6208

Phone

(843) 651-0044

Fax

(843) 357-0766

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Robert L Pugh Jr., MDNPI 1407814791

Title

President

Phone

(843) 651-0044

Specialties & licenses 1

Addresses

Other names 1

• PALMETTO INTERNAL MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

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

• Robert L Pugh Jr., MD

  • Internal Medicine Physician
  • Murrells Inlet, SC
  • NPI 1407814791
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1497944219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 MURRELLS INLET RD",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295766208",
            "telephone_number": "843-651-0444",
            "fax_number": "843-357-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 MURRELLS INLET RD",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295766208",
            "telephone_number": "843-651-0044",
            "fax_number": "843-357-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA PRIMARY CARE OF MURRELLS INLET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-651-0044",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALMETTO INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALMETTO INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Scott Childress Jr., PTA
• Chiropractic Health Solutions
• Elizabeth Mary Chouinard, APRN
• Coastal Cancer Center, LLC
• Coastal Carolina Breast Center LLC
• Coastal Dental Group LLC
• Coastal Eye Group, P.C.
• Coastal Eye Management LLC
• Coastal Healthrx LLC
• Coastal House Calls

• Internal Medicine Physician in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.