Active NPI
Grand Strand Internal Medicine PC
- Internal Medicine Physician
- Myrtle Beach, SC
National Provider Identifier
1578526117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CJ7049 | Other | SC | RAILROAD MEDICARE |
| 7251 | Other | SC | MEDICARE PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryNPI 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
- Grand Strand Family and Esthetic Dentistry
- Grand Strand Family and Esthetic Dentistry
- Grand Strand Family and Esthetic Dentistry
- Grand Strand Gynecology
- Grand Strand Healthcare, Inc.
- Grand Strand Mobile Wound Care
- Grand Strand Pediatric Dentistry
- Grand Strand Pediatrics & Adolescent Medicine, P.a.
- Grand Strand Plastic & Reconstructive Surgery Center PA (Grand Strand Plastic Surgery)
- Grand Strand Psychological Services, PA
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.