Active NPI
Juan R Vigo Matos, MD
- Internal Medicine Physician
- Georgetown, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12824
- Practice address
- 606 Black River Rd
Georgetown, SC 29440-3304 - Phone
- (843) 527-7000
- Fax
- (843) 520-8403
- NPI assigned
- Apr 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12824 | GA | Primary |
Addresses
Primary practice location
606 Black River Rd
Georgetown, SC 29440-3304
Mailing address
PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000
Other practice location 1
606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000
Other practice location 2
4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000
Other practice location 3
1500 Oglethorpe Ave Ste 200D
Athens, GA 30606-2165
Phone (706) 389-3875
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jvigo482687@direct.musc.edu | Direct | Waccamaw Community Hospital |
| Direct Messaging Address | jvigo482687@direct.musc.edu | Direct | Georgetown Memorial Hospital |
| Direct Messaging Address | jvigo482687@direct.musc.edu | Direct | Waccamaw Community Hospital |
| Direct Messaging Address | jvigo482687@direct.musc.edu | Direct | Georgetown Memorial Hospital |
| Direct Messaging Address | communityinternalmedicine@605.direct.myezyaccess.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4070 Hwy 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000
606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000
Hospital & facility affiliations
- Amedisys Home Health of Myrtle Beach
- Tidelands Waccamaw Community Hospital
- Tidelands Georgetown Memorial Hospital
- Musc Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.46 of 100
- Quality
- 47.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.55 of 100
- Quality
- 85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Waccamaw Community Hospital | Current | Accepting new patients | |
| Georgetown Memorial Hospital | Current | Accepting new patients |
Locations
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100
Interoperability endpoints
- jvigomatos2021424@direct.trinity-health.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tidelands Georgetown Memorial Hospital
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
dba Tidelands Waccamaw Community Hospital
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
-
dba Tidelands Health Skilled Care
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Myrtle Beach
- Home Health Agency
- Myrtle Beach, SC
- NPI 1811955065
-
dba Tidelands Health Skilled Care
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
Hospital
-
dba Tidelands Georgetown Memorial Hospital
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
dba MUSC Health- Rehabiliation - orangeburg - part of musc medical center
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
dba MUSC Health - Psychiatry - Orangeburg - part of MUSC Medical Center Ch
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
dba MUSC Health - Orangeburg, part of the MUSC Medical Center - Charleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
dba MUSC Health - Orangeburg, part of MUSC Medical Center - CHarleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
-
dba Tidelands Waccamaw Community Hospital
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1508444225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421718",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294424203",
"telephone_number": "843-527-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 BLACK RIVER RD",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294403304",
"telephone_number": "843-527-7000",
"fax_number": "843-520-8403"
}
],
"practiceLocations": [
{
"address_1": "606 Black River Rd",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "SC",
"postal_code": "294403304",
"country_code": "US",
"telephone_number": "843-527-7000",
"fax_number": "843-520-8403",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4070 Highway 17",
"address_purpose": "LOCATION",
"city": "Murrells Inlet",
"state": "SC",
"postal_code": "295765033",
"country_code": "US",
"telephone_number": "843-652-1000",
"fax_number": "843-520-8403",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Oglethorpe Ave Ste 200D",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306062165",
"country_code": "US",
"telephone_number": "706-389-3875",
"fax_number": "706-389-3876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIGO MATOS",
"first_name": "JUAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-01",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "12824",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvigo482687@direct.musc.edu",
"affiliation": "Y",
"affiliationName": "Waccamaw Community Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4070 Highway 17",
"city": "Murrells Inlet",
"state": "SC",
"country_code": "US",
"postal_code": "295765033",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvigo482687@direct.musc.edu",
"affiliation": "Y",
"affiliationName": "Georgetown Memorial Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "606 Black River Rd",
"city": "Georgetown",
"state": "SC",
"country_code": "US",
"postal_code": "294403304",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvigo482687@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging Address",
"affiliationName": "Waccamaw Community Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4070 Highway 17 Bypass",
"city": "Murrells Inlet",
"state": "SC",
"country_code": "US",
"postal_code": "295765033",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvigo482687@direct.musc.edu",
"affiliation": "Y",
"endpointDescription": "Direct Messaging Address",
"affiliationName": "Georgetown Memorial Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "606 Black River Rd",
"city": "Georgetown",
"state": "SC",
"country_code": "US",
"postal_code": "294403304",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "communityinternalmedicine@605.direct.myezyaccess.com",
"affiliation": "N",
"endpointDescription": "Direct CIMA Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Email Address",
"address_1": "1500 Oglethorpe Ave Ste 200C",
"city": "Athens",
"state": "GA",
"country_code": "US",
"postal_code": "306062165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.