Active NPI
Benjamin Andrew Casola, MD
- Family Medicine Physician
- Myrtle Beach, SC
National Provider Identifier
1750873618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 87780
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009933 | GA | MD | Rehabilitation Chiropractor |
| 87780 | SC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Couples and Family Counseling & Wellness Center LLC | Current | 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.
-
- Counselor
- Myrtle Beach, SC
- NPI 1558040048
-
- Psychiatry Physician
- Myrtle Beach, SC
- NPI 1992600035
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.