Active NPI
Douglas S Head, M.D.
- Cardiovascular Disease Physician
- Murrells Inlet, SC
National Provider Identifier
1851383459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 12647
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126474 | Medicaid | SC | |
| GP0975 | Medicaid | SC |
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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veritas Healthcare Solutions, LLC | Cardiovascular Disease | Current | 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.
-
- Cardiovascular Disease Physician
- Myrtle Beach, SC
- NPI 1124442611
-
- Computed Tomography Radiologic Technologist
- Greenville, SC
- NPI 1922162270
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
Internal Medicine
-
- Internal Medicine Physician
- Greenville, SC
- NPI 1871895771
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.