NPIMap

Organization Active NPI

Beaufort County Memorial Hospital

Doing business as Beaufort Memorial Emergency Medicine Physicians

  • Emergency Medicine Physician
  • Beaufort, SC
National Provider Identifier
1871335018
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BEAUFORT COUNTY MEMORIAL HOSPITAL
Doing business as
Beaufort Memorial Emergency Medicine Physicians
Practice address
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone
(843) 522-5983
NPI assigned
Jun 10, 2024
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Amanda Martin
Title
Billing Manager
Phone
(843) 522-5983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

955 Ribaut Rd
Beaufort, SC 29902-5441

Mailing address

955 Ribaut Rd
Beaufort, SC 29902-5441

Other names 1

  • BEAUFORT MEMORIAL EMERGENCY MEDICINE PHYSICIANS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050208000354 SC Part B Supplier - Clinic/Group Practice 7810809365 Receives reassigned benefits from 229 practitioners
6 other NPIs on this enrollment
Practice locations: Beaufort, SC; Okatie, SC; Varnville, SC

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 28)

1005 Ribaut Rd
Ste 41
Beaufort, SC 29902
Phone (843) 470-9080

1051 Ribaut Rd
Beaufort, SC 29902
Phone (843) 522-5734

1251 Ribaut Rd
Ste A
Beaufort, SC 29902
Phone (843) 522-5593

955 Ribaut Rd
#11
Beaufort, SC 29902
Phone (843) 522-5007

989 Ribaut Rd
Ste 110
Beaufort, SC 29902
Phone (843) 522-5200

989 Ribaut Rd
Ste 330
Beaufort, SC 29902
Phone (843) 522-5593

989 Ribaut Rd
Ste 370
Beaufort, SC 29902
Phone (843) 402-0227

990 Ribaut Rd
Beaufort, SC 29902
Phone (843) 522-5565

990 Ribaut Rd
Fl 1
Beaufort, SC 29902
Phone (843) 522-5635

990 Ribaut Rd
Ste 210
Beaufort, SC 29902
Phone (843) 522-5900

11 Arley Way
Bluffton, SC 29910
Phone (843) 522-5630

11 Arley Way
#201
Bluffton, SC 29910
Phone (843) 522-7820

31 Innovation Dr
Bluffton, SC 29910
Phone (614) 394-4233

122 Okatie Center Blvd N
Okatie, SC 29909
Phone (843) 273-7980

122 Okatie Center Blvd N
Ste 110
Okatie, SC 29909
Phone (843) 522-7350

122 Okatie Center Blvd N
Ste 120
Okatie, SC 29909
Phone (843) 522-7330

122 Okatie Center Blvd N
Ste 150
Okatie, SC 29909
Phone (843) 704-8940

122 Okatie Center Blvd N
Ste 160
Okatie, SC 29909
Phone (843) 706-8660

122 Okatie Center Blvd N
Ste 170
Okatie, SC 29909
Phone (843) 522-7180

122 Okatie Center Blvd N
Ste 200
Okatie, SC 29909
Phone (843) 522-5630

122 Okatie Center Blvd N
Ste 210
Okatie, SC 29909
Phone (843) 524-3015

122 Okatie Center Blvd N
Ste 220
Okatie, SC 29909
Phone (843) 707-8020

122 Okatie Center Blvd N
Ste 300
Okatie, SC 29909
Phone (843) 707-8040

122 Okatie Center Blvd N
Ste 310
Okatie, SC 29909
Phone (843) 706-8690

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beaufort County Memorial HospitalBeaufort, SC, CCN 420067 Hospital Operational/Managerial Control Apr 3, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 376

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.

View all 376

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1871335018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "843-522-5983"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEAUFORT MEMORIAL EMERGENCY MEDICINE PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.