Murrells Inlet ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MURRELLS INLET ASC LLC

Practice address

3545 Highway 17 Bypass
Murrells Inlet, SC 29576

Phone

(843) 299-1717

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Tracey Tylicki

Title

Chief Administrative Officer

Phone

(843) 299-1717

Specialties & licenses 1

Addresses

Other names 1

• Carolina Coast Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Murrells Inlet ASC LLC Dba Carolina Coast Surgery CenterCCN 42C0001087

Medicare certification status

ActiveFrom the Provider of Services file

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Carolina Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Myrtle Beach, SC
  • NPI 1710434451

  Member Of

  NPD member
• Christopher T Crosby DPM

  • Podiatrist
  • Pawleys Island, SC
  • NPI 1669519211

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Q. Parker, MD

  • Physical Medicine & Rehabilitation Physician
  • Murrells Inlet, SC
  • NPI 1336110642
  NPD (past)

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1780076885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 HIGHWAY 17 BYPASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-299-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 HIGHWAY 17 BYPASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-299-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRELLS INLET ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "TYLICKI",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "843-299-1717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Coast Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina Coast Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Motorvate Kids OT
• Debra Ann Moynihan, APN-C
• Jacquelin Mueller
• Calvin F Muller
• Amanda Dawn Murray, COTA/L
• Murrells Inlet Chiropractic
• Murrells Inlet Dental Group, LLC
• Murrells Inlet Dentistry
• Murrells Inlet Garden City Fire District
• Murrells Inlet Ortho LLC

• Ambulatory Surgical Clinic/Center in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.