Carolina Forest Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13280 Issued in SC

Legal business name

CAROLINA FOREST FAMILY MEDICINE

Practice address

4022 Postal Way
Myrtle Beach, SC 29579

Phone

(843) 236-9925

Fax

(843) 238-1624

NPI assigned

Sep 28, 2006

Last updated

Jan 5, 2010By 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

James M Vest, MDNPI 1780697151

Title

Owner

Phone

(843) 238-5654

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• James Marvin Vest, M.D.

  • Family Medicine Physician
  • Surfside Beach, SC
  • NPI 1780697151
  Authorized official Same address or phone

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1831281195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 POSTAL WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-236-9925",
            "fax_number": "843-238-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 POSTAL WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-236-9925",
            "fax_number": "843-238-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FOREST FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "VEST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-238-5654",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "13280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Clinic of Chiropractic, LLC
• Carolina Coastal Family Medicine PA
• Carolina Coastal Plastic and Reconstructive Surgery, Inc.
• Carolina Forest Chiropractic, LLC
• Carolina Forest Family Eyecare, P.a.
• Carolina Forest Hearing Center of SC LLC
• Carolina Forest Hearing Center, P.C.
• Carolina Forest Imaging Center LLC
• Carolina Forest Imaging Center LLC
• Carolina Forest Urgent Care LLC

• Family Medicine Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.