NPIMap

Organization Active NPI

Hilton Head Regional Physician Group LLC

Doing business as Novant Health Southern Surgery Specialists

  • Surgery Physician
  • Hardeeville, SC
National Provider Identifier
1730950411
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HILTON HEAD REGIONAL PHYSICIAN GROUP LLC
Doing business as
Novant Health Southern Surgery Specialists
Practice address
1010 Medical Center Dr Ste 205
Hardeeville, SC 29927-3447
Phone
(843) 682-2519
Fax
(803) 943-4347
NPI assigned
Jan 11, 2024
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Leea Jeanine Walton
Title
RCS Manager
Phone
(704) 316-6081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1010 Medical Center Dr Ste 205
Hardeeville, SC 29927-3447

Mailing address

PO Box 604411
Charlotte, NC 28260-4411

Other practice location 1

408 Jackson Ave E
Hampton, SC 29924-3602
Phone (843) 682-2519

Other names 1

  • Novant Health Southern Surgery Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240214000643 SC Part B Supplier - Clinic/Group Practice 9234573676 Receives reassigned benefits from 173 practitioners
38 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Okatie, SC; Hilton Head Island, SC; Hilton Head, SC; Hardeeville, SC; Beaufort, SC; Bluffton, SC; Hampton, SC

Other NPIs on the same Medicare enrollment 38

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 38

National Provider Directory

National Provider Directory
Tax ID family
Hilton Head Regional Physician Group LLC53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1010 Medical Center Dr
Ste 205
Hardeeville, SC 29927
Phone (843) 682-2519

Practitioners & affiliated clinicians

Practitioners 3

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": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1730950411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604411",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MEDICAL CENTER DR STE 205",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299273447",
            "telephone_number": "843-682-2519",
            "fax_number": "803-943-4347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Jackson Ave E",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "SC",
            "postal_code": "299243602",
            "country_code": "US",
            "telephone_number": "843-682-2519",
            "fax_number": "803-943-4347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HILTON HEAD REGIONAL PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "704-316-6081"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Southern Surgery Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.