NPIMap

Individual provider Active NPI

Heber J Watson III, DO

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1811427289
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40723 Issued in SC
Practice address
6010 Highway 707 Ste 100
Myrtle Beach, SC 29588-7321
Phone
(843) 234-8939
Fax
(843) 234-8959
NPI assigned
Jun 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 40723 SC Primary

Addresses

Primary practice location

6010 Highway 707 Ste 100
Myrtle Beach, SC 29588-7321

Mailing address

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

Other practice location 1

2367B Cypress Cir
Conway, SC 29526-8921
Phone (843) 349-1001

Other practice location 2

1301 Creel Street
Conway, SC 29527-5018
Phone (843) 248-4414

Other practice location 3

8004 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 234-8939

Other identifiers 1

IdentifierTypeStateIssuer
407233MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629002127 SC Practitioner - Family Practice 3173897352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
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)

8004 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 234-8939

Hospital & facility affiliations

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 nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40723SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. CurrentSince Jun 22, 2020 Accepting new patients
Conway Hospital, Inc. CurrentSince Jun 22, 2020 Accepting new patients
Conway Hospital, Inc. Family Medicine Past Accepting new patients
Conway Hospital, Inc. Past Accepting new patients

Locations

1301 Creel St
Conway, SC 29527
Phone (843) 248-4414

8004 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 234-8939

2367B Cypress Cir
Conway, SC 29526
Phone (843) 349-1001

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

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

631 Bellamy Ave
Unit A
Murrells Inlet, SC 29576
Phone (843) 299-1451

11899 Highway 707
Unit A8
Murrells Inlet, SC 29576
Phone (843) 651-0791

Organizations & group practices 5

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1811427289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PNS CREDENTIALING",
            "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": "6010 HIGHWAY 707 STE 100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887321",
            "telephone_number": "843-234-8939",
            "fax_number": "843-234-8959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2367B Cypress Cir",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268921",
            "country_code": "US",
            "telephone_number": "843-349-1001",
            "fax_number": "843-349-1008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Creel Street",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295275018",
            "country_code": "US",
            "telephone_number": "843-248-4414",
            "fax_number": "843-248-3781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8004 Myrtle Trace Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268945",
            "country_code": "US",
            "telephone_number": "843-234-8939",
            "fax_number": "843-234-8959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "HEBER",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "40723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407233",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.