Hilton Head Sports Medicine

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

16696 Issued in SC

Legal business name

HILTON HEAD SPORTS MEDICINE

Practice address

22 Bethea Dr
Hilton Head Island, SC 29926-4702

Phone

(843) 689-9720

Fax

(843) 689-9704

NPI assigned

Nov 2, 2005

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian N Anderson, MD

Title

President

Phone

(843) 689-9720

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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.

• Anna Wells-Sharp, NP

  • Family Nurse Practitioner
  • Bluffton, SC
  • NPI 1790019602
  NPD (past)
• Leslie A David, MD

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1447211297
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1821089434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23613",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299253613",
            "telephone_number": "843-689-9720",
            "fax_number": "843-689-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BETHEA DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264702",
            "telephone_number": "843-689-9720",
            "fax_number": "843-689-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON HEAD SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-689-9720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "SC",
            "license": "16696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2936",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "6953",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilton Head Regional Physician Group LLC
• Hilton Head Regional Physician Group LLC
• Hilton Head Regional Physician Group LLC (Novant Health Heart & Vascular)
• Hilton Head Regional Physician Network, LLC
• Hilton Head Retina Institute, LLC
• Hilton Hess Dental
• Hinshelwood and Criss LLC (Fraum Center for Restorative Health)
• Sandra Jo Hoffmann, MD
• Rey Holcomb, PT
• Hope Life and Rehabilitation Center, LLC

• Sports Medicine (Family Medicine) Physician in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Sports Medicine (Family Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.