Courtney Holmes Suggs, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8861 Issued in SC

Practice address

968 International Dr
Myrtle Beach, SC 29579-3488

Phone

(843) 903-8800

NPI assigned

Apr 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Gamecock Dentistry PA

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1417517384
  NPD Authorized official

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1750768693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 INTERNATIONAL DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793488",
            "telephone_number": "843-798-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 INTERNATIONAL DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793488",
            "telephone_number": "843-903-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4032 River Oaks Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "29579",
            "country_code": "US",
            "telephone_number": "843-798-1662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "27157",
            "country_code": "US",
            "telephone_number": "336-716-4353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGGS",
        "first_name": "COURTNEY",
        "middle_name": "HOLMES",
        "name_prefix": "Mrs.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Stuart, PMHNP-BC
• John Lacy Sturdivant, MD
• Tyler J Styche, DC
• Emily Marie Sucanic, REGISTERED NURSE
• Alexander Christian Suda, MD
• Vanessa Leigh Suggs, DNP, APRN, FNP-C
• Andrea Lee Sulewski, ATC
• Jackson Lewis Sullivan, MD
• Stefan Sultanov, MAINTERN
• Ali Estelle Summers

• General Practice Dentistry in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.