Active NPI
Advanced Urology of the Pee Dee
- Urology Physician
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- ADVANCED UROLOGY OF THE PEE DEE
- Practice address
- 309 W Pine St
Florence, SC 29501-4726 - Phone
- (843) 618-8609
- NPI assigned
- Aug 21, 2015
- Last updated
- Sep 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian R. Evans, MD
- Title
- Owner
- Phone
- (843) 618-8609
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | SC | Primary |
Addresses
Primary practice location
309 W Pine St
Florence, SC 29501-4726
Mailing address
309 W Pine St
Florence, SC 29501-4726
Phone (843) 472-5255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP6980 | Medicaid | SC | |
| DW2056 | Other | SC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2103692 | Advanced Urology of the Pee Dee | Certificate of waiver | Oct 18, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Florence, SC
- NPI 1457365900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1811364144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W PINE ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295014726",
"telephone_number": "843-472-5255",
"fax_number": "843-472-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W PINE ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295014726",
"telephone_number": "843-618-8609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED UROLOGY OF THE PEE DEE",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-21",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-618-8609",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP6980",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DW2056",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
- Advanced Dental Center, PA
- Advanced Healthcare Staffing Solutions, LLC
- Advanced Healthcare Staffing Solutions, LLC
- Advanced Healthcare, LLC
- Advanced Prosthetics, Inc
- Advanced Women's Care, PA
- Advantage Care of Pee Dee LLC
- Advantage Health and Wellness Center PC
- Advantage O & P
- Advantage Pharmacy and Wellness LLC (Advantage Pharmacy & Wellness, LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.