Tracey A Golden, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

24029 Issued in SC

Practice address

8203 Nigels Dr
Suite 100
Myrtle Beach, SC 29572-4177

Phone

(843) 449-5848

Fax

(843) 692-0841

NPI assigned

Oct 11, 2006

Last updated

Jan 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Magnolia OB-GYN LLC of Myrtle Beach

  • Obstetrics & Gynecology Physician
  • Myrtle Beach, SC
  • NPI 1366546608
  NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1750479077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 NIGELS DR",
            "address_2": "SUITE 100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724177",
            "telephone_number": "843-449-5848",
            "fax_number": "843-692-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 NIGELS DR",
            "address_2": "SUITE 100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724177",
            "telephone_number": "843-449-5848",
            "fax_number": "843-692-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "TRACEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "24029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T81970",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorene Strange Godbold
• Jason A. Goebel, MD
• Kimberley B Goh, MD
• Renwick N Goldberg, MD
• Thaddeus W. Golden, M.D.
• Jessica Goldfinch
• Myles Goldflies
• Leonard Goldschmidt, J.D., PSY.D.
• Robert Adam Goldsteen, DO
• Melissa Ann Goldston, PHARMD

• Obstetrics & Gynecology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.