NPIMap

Organization Active NPI

Conway Hospital, Inc.

Doing business as CMC Primary Care Towne Center

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1902047277
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CONWAY HOSPITAL, INC.
Doing business as
CMC Primary Care Towne Center
CMC Quick Care Postal Way
Practice address
5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579
Phone
(843) 236-2700
Fax
(843) 236-2726
NPI assigned
Mar 17, 2009
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Mary Ellen Artioli
Title
Credentialing Specialist
Phone
(843) 234-6946

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Adult Health Nurse Practitioner 363LA2200X
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579

Mailing address

300 Singleton Ridge Road
Attention PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946

Other identifiers 1

IdentifierTypeStateIssuer
GP4505MedicaidSC

Other names 3

  • CMC Primary Care Towne Center Doing business as
  • CMC Quick Care Postal Way Doing business as
  • CPG FAMILY MEDICINE AT TOWNE CENTRE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031201000111 SC Part B Supplier - Clinic/Group Practice 7113839606 Receives reassigned benefits from 148 practitioners
41 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Conway, SC; Surfside Beach, SC; Myrtle Beach, SC; Murrells Inlet, SC; Little River, SC; Florence, SC
O20100810000963 SC Part A Provider - Hospital 7113839606 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902047277. Details of each certification follow.

Hospital certification: CCN 420049

Legal name
CONWAY HOSPITAL INC
Doing business as
CONWAY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 27, 2022
Beds
210
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 7, 1928 in SC
Enrollment address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Other Hospital Practice Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 42

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

View all 42

Care Compare: Hospital

Medicare Care Compare
Listed as
Conway Medical CenterCCN 420049 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1096822CMC Primary Care Towne Center5010 Carolina Forest Blvd, Myrtle Beach, SC 29579Provider-performed microscopyMay 15, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian J Argo Individual Corporate OfficerCfo Jul 31, 2017
Corporate DirectorCfo Jul 31, 2017
Operational/Managerial ControlCeo Jan 1, 2023
Candice R Abbott Individual Contracted Managing EmployeeCfo Sep 1, 2025
Corporate OfficerCfo Sep 1, 2025
Operational/Managerial ControlCfo Sep 1, 2025

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 534

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 534

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1902047277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE ROAD",
            "address_2": "ATTENTION PNS CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946",
            "fax_number": "843-234-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 CAROLINA FOREST BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793579",
            "telephone_number": "843-236-2700",
            "fax_number": "843-236-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "ARTIOLI",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "843-234-6946"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4505",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC Primary Care Towne Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMC Quick Care Postal Way",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMC Quick Care Postal Way",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CPG FAMILY MEDICINE AT TOWNE CENTRE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.