NPIMap

Organization Active NPI

Southern Comprehensive and Behavioral Health Associates LLC

  • Family Medicine Physician
  • Murrells Inlet, SC
National Provider Identifier
1730602285
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTHERN COMPREHENSIVE AND BEHAVIORAL HEALTH ASSOCIATES LLC
Practice address
3583 Highway 17
Murrells Inlet, SC 29576-5002
Phone
(843) 357-4357
NPI assigned
Jul 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Arvin M Ward, PA
Title
Owner
Phone
(912) 856-3249

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3583 Highway 17
Murrells Inlet, SC 29576-5002

Mailing address

3583 Highway 17 Bypass
Murrells Inlet, SC 29576-5002
Phone (843) 357-4357

Other practice location 1

3583 Highway 17
Murrells Inlet, SC 29576-5002
Phone (843) 357-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171205000377 SC Part B Supplier - Clinic/Group Practice 5890052526 Receives reassigned benefits from 11 practitioners
Practice locations: Murrells Inlet, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730602285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3583 HIGHWAY 17 BYPASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765002",
            "telephone_number": "843-357-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3583 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765002",
            "telephone_number": "843-357-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3583 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765002",
            "country_code": "US",
            "telephone_number": "843-357-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN COMPREHENSIVE AND BEHAVIORAL HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ARVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-856-3249",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.