NPIMap

Organization Active NPI

James M Vest MD PC

  • Family Medicine Physician
  • Surfside Beach, SC
National Provider Identifier
1710065941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13280 Issued in SC
Legal business name
JAMES M VEST MD PC
Practice address
4700 S Ocean Blvd
Surfside Beach, SC 29575-4500
Phone
(843) 238-8747
Fax
(843) 232-8401
NPI assigned
Nov 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James M Vest, MDNPI 1780697151
Title
Owner
Phone
(843) 238-1601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 13280 SC Primary

Addresses

Primary practice location

4700 S Ocean Blvd
Surfside Beach, SC 29575-4500

Mailing address

PO Box 16264
Surfside Beach, SC 29587-6264
Phone (843) 238-1601

Other identifiers 1

IdentifierTypeStateIssuer
GP2680MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710065941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16264",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295876264",
            "telephone_number": "843-238-1601",
            "fax_number": "843-232-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S OCEAN BLVD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754500",
            "telephone_number": "843-238-8747",
            "fax_number": "843-232-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M VEST MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VEST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-238-1601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "13280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2680",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.