Active NPI
Stephen E Boatwright, MD
- Pain Medicine (Anesthesiology) Physician
- Myrtle Beach, SC
National Provider Identifier
1538157334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 12340
- Practice address
- 4736 Highway 17 Byp S
Myrtle Beach, SC 29588-5616 - Phone
- (843) 231-2039
- Fax
- (843) 293-2454
- NPI assigned
- Oct 6, 2005
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 12340 | SC | Primary |
Addresses
Primary practice location
4736 Highway 17 Byp S
Myrtle Beach, SC 29588-5616
Mailing address
4736 Highway 17 Byp S
Myrtle Beach, SC 29588-5616
Phone (843) 213-2039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123404 | Medicaid | SC |
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
- Anesthesiology
- Education
- Medical University of South Carolina College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4736 Hwy 17 Byp S
Myrtle Beach, SC 29588-5616
Phone (843) 213-2039
Hospital & facility affiliations
- McLeod Loris Hospital
- Tidelands Waccamaw Community Hospital
- Grand Strand Regional Medical Center
- Conway Medical Center
- Tidelands Georgetown Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.39 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 74.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12340 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Homecare MD, LLC | Past | Accepting new patients | |
| Coastal Anesthesia Medical Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGDFAD/Endpoint/EGDFAD
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 and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Myrtle Beach, SC
- NPI 1679974588
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1609813179
-
- Geriatric Medicine (Family Medicine) Physician
- Seneca, SC
- NPI 1013057520
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1538157334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4736 HIGHWAY 17 BYP S",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295885616",
"telephone_number": "843-213-2039",
"fax_number": "843-293-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4736 HIGHWAY 17 BYP S",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295885616",
"telephone_number": "843-231-2039",
"fax_number": "843-293-2454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOATWRIGHT",
"first_name": "STEPHEN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "SC",
"license": "12340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123404",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.