NPIMap

Organization Active NPI

Grand Strand Regional Medical Center, LLC

Doing business as Carolina Forest Imaging Center, a department of Grand Strand Regional Medical Center

  • Radiology Clinic/Center
  • Myrtle Beach, SC
National Provider Identifier
1700717410
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
GRAND STRAND REGIONAL MEDICAL CENTER, LLC
Doing business as
Carolina Forest Imaging Center, a department of Grand Strand Regional Medical Center
Practice address
199 Village Center Blvd Ste 110
Myrtle Beach, SC 29579-3589
Phone
(615) 344-9551
NPI assigned
May 29, 2026
Organization subpart
Yes
Parent organization
GRAND STRAND REGIONAL MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Mark Edward Sims
Title
Ceo
Phone
(843) 692-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

199 Village Center Blvd Ste 110
Myrtle Beach, SC 29579-3589

Mailing address

199 Village Center Blvd Ste 110
Myrtle Beach, SC 29579-3589
Phone (615) 344-9551

Other names 1

  • Carolina Forest Imaging Center, a department of Grand Strand Regional Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

National Provider Directory

National Provider Directory
Tax ID family
Grandstrand Senior Heal11 organizations share this tax ID, including this one
Part of
Grandstrand Senior Heal

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1700717410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 VILLAGE CENTER BLVD STE 110",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793589",
            "telephone_number": "615-344-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 VILLAGE CENTER BLVD STE 110",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793589",
            "telephone_number": "615-344-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND STRAND REGIONAL MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAND STRAND REGIONAL MEDICAL CENTER, LLC",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-692-1104"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carolina Forest Imaging Center, a department of Grand Strand Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.