Individual provider Active NPI

Brent T Folsom, MD

  • MOHS-Micrographic Surgery Physician
  • Myrtle Beach, SC
National Provider Identifier
1851928410
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
91415 Issued in SC
Practice address
5046 Highway 17 Byp S Ste 200
Myrtle Beach, SC 29588-4503
Phone
(843) 839-3501
NPI assigned
Mar 24, 2020
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 207N00000X SC
MOHS-Micrographic Surgery Physician 207ND0101X 91415 SC Primary

Addresses

Primary practice location

5046 Highway 17 Byp S Ste 200
Myrtle Beach, SC 29588-4503

Mailing address

890 Birds ML SE
Marietta, GA 30067-5139
Phone (616) 581-1913

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
I20240612000056 SC Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 0941625909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waccamaw Dermatology LLCGroup PAC ID 7315021169, 26 clinicians

Practice addresses (Care Compare)

5046 Hwy 17 Byp S
Suite 203
Myrtle Beach, SC 29588-4503
Phone (843) 449-0453

Merit-based Incentive Payment System (MIPS)

Final score
90.01 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision135
Removal of skin lesions1089
Removal of skin cancer826
Removal or shaving of skin growth1-10
Skin biopsy442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207N00000XSCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waccamaw Dermatology, LLC Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Atlantic Urology Clinics LLC PastSince Feb 11, 2024 Accepting new patients

Locations

5046 Highway 17 Byp S
Ste 200
Myrtle Beach, SC 29588
Phone (843) 839-3501

5046 Highway 17 Byp S
Ste 203
Myrtle Beach, SC 29588
Phone 8432941941310

8170 Rourk St
Ste 175
Myrtle Beach, SC 29572

917 Medical Cir
Myrtle Beach, SC 29572

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1851928410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 BIRDS ML SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675139",
            "telephone_number": "616-581-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 HIGHWAY 17 BYP S STE 200",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884503",
            "telephone_number": "843-839-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "BRENT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "207N00000X",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SC",
            "license": "91415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.