Individual provider Active NPI

Benjamin Andrew Casola, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1750873618
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
87780 Issued in SC
Practice address
1205 48TH Ave N
Myrtle Beach, SC 29577-5424
Phone
(843) 703-1674
Fax
(843) 944-2720
NPI assigned
Jun 5, 2018
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 87780 SC Primary
Psychiatry Physician 2084P0800X 87780 SC

Addresses

Primary practice location

1205 48TH Ave N
Myrtle Beach, SC 29577-5424

Mailing address

1205 48TH Ave N
Myrtle Beach, SC 29577-5424
Phone (843) 703-1674

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251112000041 SC Practitioner - Psychiatry 1850642612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Couples and Family Counseling and Wellness Center, LLCGroup PAC ID 6709377385, 2 clinicians

Practice addresses (Care Compare)

11945 Grandhaven Dr
Suite E
Murrells Inlet, SC 29576-8091
Phone (843) 995-9025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
009933GAMDRehabilitation Chiropractor
87780SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Couples and Family Counseling & Wellness Center LLC CurrentSince Aug 28, 2025 Accepting new patients

Locations

11945 Grandhaven Dr
Ste E
Murrells Inlt, SC 29576
Phone (843) 508-8208

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1750873618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 48TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775424",
            "telephone_number": "843-703-1674",
            "fax_number": "843-944-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 48TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775424",
            "telephone_number": "843-703-1674",
            "fax_number": "843-944-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASOLA",
        "first_name": "BENJAMIN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "87780",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "87780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.