Active NPI
George E Berley, M.D.
- Family Medicine Physician
- Little River, SC
National Provider Identifier
1558355388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18987
- Practice address
- 1300 Highway 17
Little River, SC 29566-9215 - Phone
- (843) 280-8333
- Fax
- (843) 663-0020
- NPI assigned
- Sep 8, 2005
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18987 | SC | Primary |
Addresses
Primary practice location
1300 Highway 17
Little River, SC 29566-9215
Mailing address
1300 Highway 17
Little River, SC 29566-9215
Phone (843) 280-8333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428960 | Other | SC | RURAL MEDICARE |
| GP0641 | Medicaid | SC | |
| RHC127 | Other | SC | RURAL MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18987 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walker Urgent & Family Care, LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Little River, SC
- NPI 1912102518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558355388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 HIGHWAY 17",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295669215",
"telephone_number": "843-280-8333",
"fax_number": "843-663-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HIGHWAY 17",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295669215",
"telephone_number": "843-280-8333",
"fax_number": "843-663-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLEY",
"first_name": "GEORGE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "18987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RURAL MEDICARE",
"identifier": "428960",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0641",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RURAL MEDICAID",
"identifier": "RHC127",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.