Individual provider Active NPI

James Marvin Vest, M.D.

  • Family Medicine Physician
  • Surfside Beach, SC
National Provider Identifier
1780697151
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13280 Issued in SC
Practice address
1413 Highway 17 N
Surfside Beach, SC 29575-6012
Phone
(843) 238-5654
Fax
(843) 238-1624
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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 13280 SC Primary

Addresses

Primary practice location

1413 Highway 17 N
Surfside Beach, SC 29575-6012

Mailing address

300 Singleton Ridge Rd
Attention Patient Accounting
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

4022 Postal Way
Myrtle Beach, SC 29579-3537
Phone (843) 236-0000

Other identifiers 1

IdentifierTypeStateIssuer
132804MedicaidSC

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
I20031211000201 SC Practitioner - Family Practice 6800792623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

4022 Postal Way
Suite C
Myrtle Beach, SC 29579-3537
Phone (843) 903-4111

Hospital & facility affiliations

  • Amedisys Home Health of Myrtle Beach Home health agency, Myrtle Beach, SC, CCN 427067
  • NHC Homecare Murrells Inlet Home health agency, Murrells Inlet, SC, CCN 427124
  • Conway Medical Center Hospital, Conway, SC, CCN 420049
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
Quality
55.48
Improvement activities
0
Cost
74.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13280SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. Family Medicine CurrentSince May 21, 2020 Accepting new patients
Conway Hospital, Inc. CurrentSince May 21, 2020 Accepting new patients
Conway Hospital, Inc. Current Accepting new patients
Rivertown Primary Medical Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
James M Vest MD PC Family Medicine Past Accepting new patients
Conway Hospital, Inc. Past Accepting new patients

Locations

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

808 Farrar Dr
Conway, SC 29526
Phone (843) 234-8700

4022 Postal Way
Ste C
Myrtle Beach, SC 29579
Phone (843) 347-8037

4022 Postal Way
Myrtle Beach, SC 29579
Phone (843) 236-0000

4022 Postal Way
Ste B
Myrtle Beach, SC 29579
Phone (843) 903-1010

1413 Highway 17 N
Surfside Beach, SC 29575
Phone (843) 238-5654

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1780697151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PATIENT ACCOUNTING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 HIGHWAY 17 N",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756012",
            "telephone_number": "843-238-5654",
            "fax_number": "843-238-1624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4022 Postal Way",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295793537",
            "country_code": "US",
            "telephone_number": "843-236-0000",
            "fax_number": "843-234-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEST",
        "first_name": "JAMES",
        "middle_name": "MARVIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "13280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132804",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

Verify at the official NPI Registry.