Organization Active NPI

Grand Strand Internal Medicine PC

  • Internal Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1578526117
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GRAND STRAND INTERNAL MEDICINE PC
Practice address
141 McDonald Court
Myrtle Beach, SC 29588-6134
Phone
(843) 293-5601
Fax
(843) 293-5655
NPI assigned
Apr 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Lynda L Murray
Title
Practice Manager
Phone
(843) 293-5601

Specialties & licenses 1

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

Addresses

Primary practice location

141 McDonald Court
Myrtle Beach, SC 29588-6134

Mailing address

P.O. Box 14247
Surfside, SC 25987-4247
Phone (843) 293-5601

Other identifiers 2

IdentifierTypeStateIssuer
CJ7049OtherSCRAILROAD MEDICARE
7251OtherSCMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578526117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 14247",
            "city": "SURFSIDE",
            "state": "SC",
            "postal_code": "259874247",
            "telephone_number": "843-293-5601",
            "fax_number": "843-293-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MCDONALD COURT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886134",
            "telephone_number": "843-293-5601",
            "fax_number": "843-293-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND STRAND INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "843-293-5601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ7049",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "7251",
            "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 Jul 21, 2022; 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.