NPIMap

Individual provider Active NPI

Thomas L Schaefer, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1831190230
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
93521 Issued in SC
Practice address
3725 Renee Dr
Myrtle Beach, SC 29579-4109
Phone
(843) 350-1124
Fax
(877) 452-8854
NPI assigned
Aug 9, 2005
Reactivated
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 93521 SC Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD032332E PA

Addresses

Primary practice location

3725 Renee Dr
Myrtle Beach, SC 29579-4109

Mailing address

3725 Renee Dr
Myrtle Beach, SC 29579-4109
Phone (843) 350-1124

Other identifiers 5

IdentifierTypeStateIssuer
080010028OtherPARAILRAOD MEDICARE
1014504OtherPAGATEWAY
13183OtherPAELDERHEALTH
482435NMROtherPAHIGHMARK BC/BS
0014600500006MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thomas.schaefer.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040607000145 PA Practitioner - Family Practice 8729060348 Reassigns benefits to 1 organization
I20250311003464 SC Practitioner - Family Practice 8729060348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3725 Renee Dr
Myrtle Beach, SC 29579-4109
Phone (843) 350-1124

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD032332EPAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care SC JV PC Family Medicine CurrentSince Jan 20, 2025 Accepting new patients
Somerset Health Services Inc CurrentSince Jan 23, 2017 Accepting new patients
Centerwell Senior Primary Care SC JV PC Family Medicine CurrentSince Jan 20, 2025 Accepting new patients
Somerset Health Services, Inc. CurrentSince Jan 23, 2017 Accepting new patients
Somerset Health Services Inc Family Medicine Current Accepting new patients
Centerwell Senior Primary Care SC JV PC Family Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Centerwell Senior Primary Care (NC) PC Family Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

495 W Patriot St
Somerset, PA 15501
Phone (814) 443-2631

329 S Pleasant Ave
Somerset, PA 15501
Phone (814) 445-3575

2520 S Highway 17
Unit 10
Murrells Inlet, SC 29576
Phone (843) 595-2937

3725 Renee Dr
Myrtle Beach, SC 29579
Phone (843) 350-1124

1612 Airport Blvd
West Columbia, SC 29169
Phone (803) 380-6399

Interoperability endpoints

  • Direct secure messaging: thomas.schaefer@centerwell.eclinicaldirectplus.com

Organizations & group practices 9

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1831190230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794109",
            "telephone_number": "843-350-1124",
            "fax_number": "877-452-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794109",
            "telephone_number": "843-350-1124",
            "fax_number": "877-452-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "THOMAS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "93521",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD032332E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "080010028",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1014504",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERHEALTH",
            "identifier": "13183",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "482435NMR",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014600500006",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.schaefer.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "thomas.schaefer.1@29601.direct.athenahealth.com",
            "address_1": "3725 Renee Dr",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295794109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.