Individual provider Active NPI

Eskinder Ketema Nesrane

  • Internal Medicine Physician
  • Georgetown, SC
National Provider Identifier
1528415775
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
82023 Issued in SC
Practice address
606 Black River Rd
Georgetown, SC 29440-3304
Phone
(843) 527-7000
Fax
(843) 520-8403
NPI assigned
May 18, 2016
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 82023 SC 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

4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

Other practice location 2

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (571) 420-7146

Other identifiers 1

IdentifierTypeStateIssuer
82023MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address enesrane@tidelandshealth.org Direct Georgetown Memorial Hospital
Direct Messaging Address enesrane@tidelandshealth.org Direct Waccamaw Community Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA, DC, NC, WV5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20191126001846 SC Practitioner - Internal MedicinePractitioner - Emergency Medicine 6709219173 Reassigns benefits to 4 organizations
I20200402001063 VA Practitioner - Internal Medicine 6709219173 Reassigns benefits to 2 organizations
I20220309000239 DC Practitioner - Internal Medicine 6709219173 Reassigns benefits to 1 organization
I20240725001479 NC Practitioner - HospitalistPractitioner - Internal Medicine 6709219173 Reassigns benefits to 2 organizations
I20240817000660 WV Practitioner - Internal Medicine 6709219173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waccamaw Community HospitalGroup PAC ID 9133036932, 65 clinicians
Georgetown Memorial HospitalGroup PAC ID 8224942123, 90 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-4380

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 3, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Sep 7, 2019 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jul 30, 2023 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jul 30, 2023 Accepting new patients
Vibra Physicians LLC CurrentSince Jan 7, 2020 Accepting new patients
Carteret County General Hospital Corporation CurrentSince May 15, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 7, 2019 Accepting new patients
THS Physician Partners Inc Internal Medicine CurrentSince Aug 7, 2024 Accepting new patients
Georgetown Memorial Hospital CurrentSince Nov 10, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Waccamaw Community Hospital CurrentSince Nov 10, 2022 Accepting new patients
Georgetown Memorial Hospital CurrentSince Nov 10, 2022 Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients
Arnot Medical Services PLLC Internal Medicine Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

L3539
Columbus, OH 43260
Phone (304) 414-4800

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Interoperability endpoints

  • Direct secure messaging: enesrane@tidelandshealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1528415775",
    "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": "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": "327 Beach 19th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914423",
            "country_code": "US",
            "telephone_number": "571-420-7146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESRANE",
        "first_name": "ESKINDER",
        "middle_name": "KETEMA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "82023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82023",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enesrane@tidelandshealth.org",
            "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": "enesrane@tidelandshealth.org",
            "affiliation": "Y",
            "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"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.