Individual provider Active NPI

Marshall A Staton III, MD

  • Psychiatry Physician
  • Myrtle Beach, SC
National Provider Identifier
1780635292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7368 Issued in SC
Practice address
1601 N Oak St
Suite 206 Myrtle Offices
Myrtle Beach, SC 29577-3579
Phone
(843) 448-2824
NPI assigned
May 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 7368 SC Primary

Addresses

Primary practice location

1601 N Oak St
Suite 206 Myrtle Offices
Myrtle Beach, SC 29577-3579

Mailing address

PO Box 1066
Myrtle Beach, SC 29578-1066
Phone (843) 448-2824

Other identifiers 1

IdentifierTypeStateIssuer
PA315-7MedicaidSC

Other names 1

  • M Alexander Staton Other name

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
I20120322000638 SC Practitioner - Psychiatry 8325208689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical University of South Carolina College of Medicine, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1601 N Oak St
Myrtle Beach, SC 29577-3579

2513 N Oak St
Suite 209
Myrtle Beach, SC 29577-3250
Phone (843) 448-2824

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7368SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M Alexander Staton MD PA Psychiatry CurrentSince Apr 1, 1995 Accepting new patients

Locations

1601 N Oak St
Ste 206
Myrtle Beach, SC 29577
Phone (843) 448-2824

2513 N Oak St
Ste 209
Myrtle Beach, SC 29577
Phone (843) 448-2824

Organizations & group practices 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780635292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1066",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295781066",
            "telephone_number": "843-448-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N OAK ST",
            "address_2": "SUITE 206 MYRTLE OFFICES",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773579",
            "telephone_number": "843-448-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATON",
        "first_name": "MARSHALL",
        "middle_name": "A",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "7368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA315-7",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "STATON",
            "middle_name": "ALEXANDER",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.