Organization Active NPI

Inlet Rehab Medicine, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Murrells Inlet, SC
National Provider Identifier
1629449137
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
INLET REHAB MEDICINE, LLC
Practice address
631 Bellamy Ave
Suite a
Murrells Inlet, SC 29576-6459
Phone
(843) 299-1451
Fax
(843) 299-1451
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Jeffrey C Wilkins, MDNPI 1255401782
Title
Owner
Phone
(843) 299-1451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

631 Bellamy Ave
Suite a
Murrells Inlet, SC 29576-6459

Mailing address

631 Bellamy Ave
Suite a
Murrells Inlet, SC 29576-6459
Phone (843) 299-1451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160209000869 SC Part B Supplier - Clinic/Group Practice 1951605138 Receives reassigned benefits from 1 practitioner
Practice locations: Murrells Inlet, SC

National Provider Directory

National Provider Directory

Locations

3938 Highway 17
Murrells Inlt, SC 29576
Phone (843) 299-1451

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1629449137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 BELLAMY AVE",
            "address_2": "SUITE A",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295766459",
            "telephone_number": "843-299-1451",
            "fax_number": "843-299-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BELLAMY AVE",
            "address_2": "SUITE A",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295766459",
            "telephone_number": "843-299-1451",
            "fax_number": "843-299-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLET REHAB MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-299-1451",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.