Individual provider Active NPI

Sarah Jean Puim, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1679007389
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51345 Issued in SC
Practice address
809 82ND Parkway
Grand Strand Medical Center
Myrtle Beach, SC 29572
Phone
(843) 236-1950
Fax
(843) 692-1122
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 51345 SC Primary

Addresses

Primary practice location

809 82ND Parkway
Grand Strand Medical Center
Myrtle Beach, SC 29572

Mailing address

5625 Pinckney Ave
Myrtle Beach, SC 29577-2225
Phone (843) 999-1292

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
I20200811001109 SC Practitioner - Family Practice 5294093522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians
Coastal Carolina Primary Care LLCGroup PAC ID 3577629088, 24 clinicians

Practice addresses (Care Compare)

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

920 Doug White Dr
Suite 250
Myrtle Beach, SC 29572-4181
Phone (843) 236-1950

Hospital & facility affiliations

  • Well Care Home Health of the Lowcountry Inc Home health agency, Myrtle Beach, SC, CCN 427138
  • Centerwell Home Health Home health agency, Myrtle Beach, SC, CCN 427045
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Primary Care, LLC CurrentSince Jan 29, 2024 Accepting new patients
Southeastern Hospitalist Services PC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Grand Strand Regional Medical Center LLC Past Accepting new patients

Locations

920 Doug White Dr
Ste 250
Myrtle Beach, SC 29572
Phone (843) 236-1950

5050 Highway 17 Byp S
Myrtle Beach, SC 29588
Phone (843) 449-6521

809 82nd Pkwy
Ofc
Myrtle Beach, SC 29572
Phone (843) 692-1752

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1679007389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 PINCKNEY AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772225",
            "telephone_number": "843-999-1292",
            "fax_number": "281-595-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PARKWAY",
            "address_2": "GRAND STRAND MEDICAL CENTER",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "843-236-1950",
            "fax_number": "843-692-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUIM",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "51345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.