NPIMap

Individual provider Active NPI

Dean A Smith, MD

  • Internal Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1811963390
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20127 Issued in SC
Practice address
305 Wildwood Cir
Myrtle Beach, SC 29572-4748
Phone
(843) 497-8538
Fax
(843) 449-2333
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20127 SC Primary

Addresses

Primary practice location

305 Wildwood Cir
Myrtle Beach, SC 29572-4748

Mailing address

PO Box 591
Longs, SC 29568-0591
Phone (843) 497-8538

Other identifiers 1

IdentifierTypeStateIssuer
N00356MedicaidSC

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
I20080117000468 SC Practitioner - Internal Medicine 9133198658 Reassigns benefits to 1 organization
Practice locations: Myrtle Beach, SC

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahneman Medical College of the Pacific, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myrtle Beach Family Medicine PAGroup PAC ID 2163491689, 3 clinicians

Practice addresses (Care Compare)

831 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 449-5243

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle Beach Family Medicine, PA Internal Medicine CurrentSince Jan 2, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

831 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 449-5243

Interoperability endpoints

  • Direct secure messaging: deansmith@myrtlebeachfamilymedicine.ssdirect.aprima.com

Organizations & group practices 2

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1811963390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "295680591",
            "telephone_number": "843-497-8538",
            "fax_number": "843-449-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WILDWOOD CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724748",
            "telephone_number": "843-497-8538",
            "fax_number": "843-449-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00356",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.