NPIMap

Individual provider Active NPI

Scott A Ross, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1841290129
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83593 Issued in SC
Practice address
1100 62ND Ave N
Ste a
Myrtle Beach, SC 29572-2957
Phone
(843) 839-0957
Fax
(843) 839-0758
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 83593 SC Primary

Addresses

Primary practice location

1100 62ND Ave N
Ste a
Myrtle Beach, SC 29572-2957

Mailing address

300 Singleton Ridge Rd
Attn PNS Credentialing
Conway, SC 29526-9142

Other practice location 1

201 Graduate Rd
Unit 102
Conway, SC 29526-8688
Phone (843) 347-0318

Other practice location 2

2367B Cypress Cir
Conway, SC 29526-8921
Phone (843) 349-1001

Other identifiers 2

IdentifierTypeStateIssuer
5632986MedicaidVA
835939MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20091210000214 VA Practitioner - Family Practice 0244307585 Reassigns benefits to 1 organization
I20200409003497 SC Practitioner - Family Practice 0244307585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

201 Graduate Rd
Unit 102
Conway, SC 29526-8688
Phone (843) 347-0318

Hospital & facility affiliations

  • Amedisys Home Health of Conway Home health agency, Conway, SC, CCN 427112
  • Centerwell Home Health Home health agency, Myrtle Beach, SC, CCN 427045
  • Conway Medical Center Hospital, Conway, SC, CCN 420049
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Affiliate Practice I, LLC CurrentSince Jan 1, 2011 Accepting new patients
Conway Hospital, Inc. Family Medicine CurrentSince Mar 16, 2020 Accepting new patients
Conway Hospital, Inc. Current Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jan 1, 2011 Accepting new patients
Conway Hospital, Inc. CurrentSince Mar 16, 2020 Accepting new patients
Conway Hospital, Inc. Past Accepting new patients

Locations

201 Graduate Rd
Unit 102
Conway, SC 29526
Phone (843) 347-0318

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

2367B Cypress Cir
Conway, SC 29526
Phone (843) 349-1001

251 University Blvd
Ste A
Conway, SC 29526
Phone (843) 347-0524

1100 62nd Ave N
Ste A
Myrtle Beach, SC 29572
Phone (843) 839-0957

5010 Carolina Forest Blvd
Myrtle Beach, SC 29579
Phone (843) 236-2700

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

8640 Sudley Rd
Ste 203
Manassas, VA 20110
Phone (703) 368-3161

Organizations & group practices 8

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1841290129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTN PNS CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 62ND AVE N",
            "address_2": "STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295722957",
            "telephone_number": "843-839-0957",
            "fax_number": "843-839-0758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Graduate Rd",
            "address_2": "Unit 102",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268688",
            "country_code": "US",
            "telephone_number": "843-347-0318",
            "fax_number": "843-347-1281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2367B Cypress Cir",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268921",
            "country_code": "US",
            "telephone_number": "843-349-1001",
            "fax_number": "843-349-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "83593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5632986",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "835939",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.