NPIMap

Organization Active NPI

Hilton Head Regional Physician Group LLC

  • Podiatrist
  • Beaufort, SC
National Provider Identifier
1811768583
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
HILTON HEAD REGIONAL PHYSICIAN GROUP LLC
Practice address
11-D Robert Smalls Parkway
Beaufort, SC 29906
Phone
(843) 379-9913
NPI assigned
Jan 11, 2024
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Doreatha Rogers
Title
RCS Manager
Phone
(980) 302-7992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

11-D Robert Smalls Parkway
Beaufort, SC 29906

Mailing address

PO Box 37643
Belfast, ME 04915-1218

Other practice location 1

95 Sea Island Pkwy Ste 102
Beaufort, SC 29907-1499
Phone (843) 379-9913

Other practice location 2

75 Baylor Dr Ste 155
Bluffton, SC 29910-8965
Phone (843) 379-9913

Other names 1

  • Island Podiatry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240214000643 SC Part B Supplier - Clinic/Group Practice 9234573676 Receives reassigned benefits from 173 practitioners
38 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Okatie, SC; Hilton Head Island, SC; Hilton Head, SC; Hardeeville, SC; Beaufort, SC; Bluffton, SC; Hampton, SC

Other NPIs on the same Medicare enrollment 38

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 38

National Provider Directory

National Provider Directory
Tax ID family
Hilton Head Regional Physician Group LLC53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1811768583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37643",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-D ROBERT SMALLS PARKWAY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29906",
            "telephone_number": "843-379-9913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Sea Island Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299071499",
            "country_code": "US",
            "telephone_number": "843-379-9913",
            "fax_number": "843-379-9914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Baylor Dr Ste 155",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299108965",
            "country_code": "US",
            "telephone_number": "843-379-9913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HILTON HEAD REGIONAL PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DOREATHA",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "980-302-7992"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Podiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.