NPIMap

Individual provider Active NPI

Christopher Martin Stanley, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1770809089
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39731 Issued in SC
Practice address
4708 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5742
Phone
(843) 213-5800
Fax
(843) 839-3374
NPI assigned
Apr 12, 2010
Last updated
Aug 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39731 SC Primary

Addresses

Primary practice location

4708 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5742

Mailing address

4708 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5742
Phone (843) 213-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161006001451 SC Practitioner - Family PracticePractitioner - Sports Medicine 9234350414 Reassigns benefits to 1 organization
I20211102000060 NC Practitioner - Family Practice 9234350414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physician Group LLCGroup PAC ID 7113267956, 3 clinicians

Practice addresses (Care Compare)

8203 Nigels Dr
Myrtle Beach, SC 29572-4177
Phone (843) 251-0818

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39731SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Physician Group LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
The Haven Direct Primary Care Family Medicine Past Accepting new patients

Locations

13 Corporate Blvd NE
Ste 100
Brookhaven, GA 30329
Phone (229) 442-7210

3970 Five Forks Trickum Rd SW
#A
Lilburn, GA 30047
Phone (678) 880-4836

7201 Brookfield Rd
Columbia, SC 29223
Phone (678) 505-9657

8203 Nigels Dr
Myrtle Beach, SC 29572
Phone (843) 251-0818

Interoperability endpoints

  • Direct secure messaging: cstanley@unitedphysiciangroup.com

Organizations & group practices 3

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1770809089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 OLEANDER DR STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775742",
            "telephone_number": "843-213-5800",
            "fax_number": "843-839-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 OLEANDER DR STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775742",
            "telephone_number": "843-213-5800",
            "fax_number": "843-839-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "39731",
            "primary": true
        }
    ],
    "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 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.