Active NPI
South Strand Urgent Care LLC
- Family Medicine Physician
- Pawleys Island, SC
National Provider Identifier
1639422934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOUTH STRAND URGENT CARE LLC
- Practice address
- 11405 Ocean Hwy
Pawleys Island, SC 29585-8339 - Phone
- (843) 979-4006
- Fax
- (843) 650-4019
- NPI assigned
- Oct 24, 2012
- 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
- Deana W Finley
- Title
- Practice Administrator
- Phone
- (843) 650-4006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
11405 Ocean Hwy
Pawleys Island, SC 29585-8339
Mailing address
1945 Glenns Bay Rd Ste B
Surfside Beach, SC 29575-4833
Phone (843) 650-4006
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2053859 | Liberty Doctors Dba South Strand Urgent Care | Certificate of waiver | Aug 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
11045 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 650-4006
1945 Glenns Bay Rd
Surfside Beach, SC 29575
Phone (843) 650-1700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Myrtle Beach, SC
- NPI 1801810007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543795200000",
"number": "1639422934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 GLENNS BAY RD STE B",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295754833",
"telephone_number": "843-650-4006",
"fax_number": "843-650-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11405 OCEAN HWY",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295858339",
"telephone_number": "843-979-4006",
"fax_number": "843-650-4019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH STRAND URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-24",
"last_updated": "2018-12-03",
"status": "A",
"authorized_official_last_name": "FINLEY",
"authorized_official_first_name": "DEANA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "843-650-4006"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawleys Island, SC
- Sandra Smith
- South Carolina CVS Pharmacy LLC
- South Carolina Dental Screening Associates
- South Carolina Dental Screening Associates LLP
- South Carolina Mobile Imaging
- Southeast Maternal Medical Supply Inc
- Southeast Maternal Medical Supply Inc
- Ralph S Sprinkle, DPM
- Katelyn Stalbird, PA-C
- Stanton Chiropractic and Wellness Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.