Organization Active NPI

South Strand Urgent Care LLC

  • Family Medicine Physician
  • Pawleys Island, SC
National Provider Identifier
1639422934
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Dec 3, 2018

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2053859Liberty Doctors Dba South Strand Urgent Care11405 Ocean Highway, Pawleys Island, SC 29585Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.