Individual provider Active NPI

Douglas S Head, M.D.

  • Cardiovascular Disease Physician
  • Murrells Inlet, SC
National Provider Identifier
1851383459
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12647 Issued in SC
Practice address
4630 Hwy 17 Bypass
Murrells Inlet, SC 29576-2662
Phone
(843) 357-1299
Fax
(843) 357-2264
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12647 SC
Cardiovascular Disease Physician 207RC0000X 12647 SC Primary

Addresses

Primary practice location

4630 Hwy 17 Bypass
Murrells Inlet, SC 29576-2662

Mailing address

5046 Highway 17 Byp S
Ste 100
Myrtle Beach, SC 29588-4503
Phone (843) 234-5139

Other identifiers 2

IdentifierTypeStateIssuer
126474MedicaidSC
GP0975MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000175 SC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2961571948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of South Carolina School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veritas Healthcare Solutions, LLCGroup PAC ID 8921223504, 5 clinicians

Practice addresses (Care Compare)

5046 Hwy 17 Byp S
Suite 100
Myrtle Beach, SC 29588-4503
Phone (843) 293-5100

Merit-based Incentive Payment System (MIPS)

Final score
92.53 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.09

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Veritas Healthcare Solutions, LLC Cardiovascular Disease CurrentSince Jul 1, 2019 Accepting new patients
Innervision Inc Past Accepting new patients
St Francis Physician Services Inc Internal Medicine Past Accepting new patients
St Francis Physician Services Inc Internal Medicine Past Accepting new patients

Locations

5046 Highway 17 Byp S
Ste 100
Myrtle Beach, SC 29588
Phone (843) 293-5100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1851383459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 HIGHWAY 17 BYP S",
            "address_2": "STE 100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884503",
            "telephone_number": "843-234-5139",
            "fax_number": "843-234-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 HWY 17 BYPASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762662",
            "telephone_number": "843-357-1299",
            "fax_number": "843-357-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "DOUGLAS",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "12647",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "12647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126474",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0975",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.