Individual provider Active NPI

John R. Hazelton, M.D.

  • Ophthalmology Physician
  • Murrells Inlet, SC
National Provider Identifier
1659394146
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
22986 Issued in SC
Practice address
4055 Hwy. 17 South
Murrells Inlet, SC 29576
Phone
(843) 652-3939
Fax
(843) 652-3939
NPI assigned
Jul 25, 2006
Last updated
May 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 22986 SC Primary

Addresses

Primary practice location

4055 Hwy. 17 South
Murrells Inlet, SC 29576

Mailing address

4055 Hwy. 17 South
P.O. Box 1919
Murrells Inlet, SC 29576
Phone (843) 652-3939

Other identifiers 3

IdentifierTypeStateIssuer
P00160285OtherSCRAILROAD MEDICARE
229862MedicaidSC
89065C7MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110202000180 SC Practitioner - Ophthalmology 4981784394 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Eye Group, P.C.Group PAC ID 2466434717, shared by 5 NPIs, 10 clinicians

Practice addresses (Care Compare)

4055 Hwy 17
Murrells Inlet, SC 29576-5032
Phone (843) 652-3937

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as group
Quality
93.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22986SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Group, P.C. Ophthalmology CurrentSince Jul 1, 2003 Accepting new patients
Coastal Eye Group, P.C. Ophthalmology CurrentSince Jul 1, 2003 Accepting new patients
Coastal Eye Group, P.C. Ophthalmology CurrentSince Sep 1, 2015 Accepting new patients

Locations

400 N Cashua Dr
Florence, SC 29501
Phone (843) 664-9398

1200 Highmarket St
Ste 200
Georgetown, SC 29440
Phone (803) 546-8421

400 Marina Dr
Georgetown, SC 29440
Phone (803) 546-8421

4237 River Hills Dr
Ste 100
Little River, SC 29566
Phone (843) 366-3030

90 Cedar Light Ln
Little River, SC 29566
Phone (843) 280-8779

4055 Highway 17
Murrells Inlt, SC 29576
Phone (843) 652-3937

150 Village Center Blvd
Myrtle Beach, SC 29579
Phone (843) 449-7115

401 79th Ave N
Myrtle Beach, SC 29572
Phone (843) 449-7115

Interoperability endpoints

  • Direct secure messaging: jhazelton@ceg.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1659394146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 HWY. 17 SOUTH",
            "address_2": "P.O. BOX 1919",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-652-3939",
            "fax_number": "843-652-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 HWY. 17 SOUTH",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-652-3939",
            "fax_number": "843-652-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELTON",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "22986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00160285",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229862",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89065C7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.