NPIMap

Individual provider Active NPI

Malcolm H Horry, M.D.

  • Family Medicine Physician
  • Varnville, SC
National Provider Identifier
1881644557
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14765 Issued in SC
Practice address
595 W Carolina Ave
Varnville, SC 29944-4735
Phone
(803) 943-7612
Fax
(803) 943-7613
NPI assigned
May 11, 2006
Last updated
Jul 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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 14765 SC Primary

Addresses

Primary practice location

595 W Carolina Ave
Varnville, SC 29944-4735

Mailing address

595 W Carolina Ave
PO Box 338
Varnville, SC 29944-4735
Phone (803) 943-7612

Other identifiers 1

IdentifierTypeStateIssuer
TL5264MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829001004 SC Practitioner - Family PracticePractitioner - Emergency Medicine 8426089459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Wake Forest University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Regional Medical CenterGroup PAC ID 0941107296, 12 clinicians

Practice addresses (Care Compare)

595 W Carolina Ave
Varnville, SC 29944-4735
Phone (803) 943-2771

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Plains Physician Associates CurrentSince Aug 1, 2013 Accepting new patients
Hampton Regional Medical Center Current Accepting new patients
Hampton Regional Medical Center CurrentSince Jul 17, 2013 Accepting new patients
Hampton Regional Medical Center Past Accepting new patients
Hampton Regional Medical Center - Swingbed Past Accepting new patients

Locations

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

Interoperability endpoints

  • Direct secure messaging: mhorry@coastalplains.direct.sceha.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1881644557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W CAROLINA AVE",
            "address_2": "PO BOX 338",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299444735",
            "telephone_number": "803-943-7612",
            "fax_number": "803-943-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W CAROLINA AVE",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299444735",
            "telephone_number": "803-943-7612",
            "fax_number": "803-943-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORRY",
        "first_name": "MALCOLM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "14765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL5264",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Varnville, SC

Sources for this page

Verify at the official NPI Registry.