Stephen L Watkins, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11377 Issued in SC

Practice address

1600 Farrow Parkway Unit B3
Myrtle Beach, SC 29577-2011

Phone

(843) 839-4095

Fax

(843) 839-4096

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1558373324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE ROAD",
            "address_2": "ATTENTION PATIENT ACCOUNTING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FARROW PARKWAY UNIT B3",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772011",
            "telephone_number": "843-839-4095",
            "fax_number": "843-839-4096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 Highway 17 North",
            "address_purpose": "LOCATION",
            "city": "Surfside Beach",
            "state": "SC",
            "postal_code": "295756012",
            "country_code": "US",
            "telephone_number": "843-238-5654",
            "fax_number": "843-238-1624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4022 Postal Way",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295793537",
            "country_code": "US",
            "telephone_number": "843-236-0000",
            "fax_number": "843-236-6191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295269630",
            "country_code": "US",
            "telephone_number": "843-399-3377",
            "fax_number": "843-399-3378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "11377",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "11377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113772",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swatkins7760@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2720 Sunset Blvd",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel B Ward Jr., M.D.
• Richard W Ward, MD
• Michele Fern Warehime, PT
• Amy Elizabeth Warren, PHARMD
• Randy Lee Warren, M.D.
• Charleigh Madyson Watson-Foor
• Ariel S Watson, NP, APRN
• Brian Wesley Watson, M.D.
• Elizabeth Jane Watson, FNP-C
• Heber J Watson III, DO

• Internal Medicine Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, 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 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.