Individual provider Active NPI

Scott A Nicol, M.D.

  • Internal Medicine Physician
  • Pawleys Island, SC
National Provider Identifier
1902808447
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21193 Issued in SC
Practice address
64 Business Center Dr
Pawleys Island, SC 29585-7963
Phone
(843) 314-1314
Fax
(843) 314-1307
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21193 SC
Internal Medicine Physician 207R00000X 21193 SC Primary

Addresses

Primary practice location

64 Business Center Dr
Pawleys Island, SC 29585-7963

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000

Other practice location 2

4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

Other identifiers 1

IdentifierTypeStateIssuer
211933MedicaidSC

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address snicol501491@direct.musc.edu Direct Georgetown Memorial Hospital
Direct Messaging Address snicol501491@direct.musc.edu Direct Georgetown Physician Associates LLC
Direct Messaging Address snicol501491@direct.musc.edu Direct Waccamaw Community Hospital

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
I20100713000407 SC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2264517457 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Louisville School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waccamaw Community HospitalGroup PAC ID 9133036932, 65 clinicians
Georgetown Memorial HospitalGroup PAC ID 8224942123, 90 clinicians
Georgetown Physician Associates, LLCGroup PAC ID 2365697398, 221 clinicians

Practice addresses (Care Compare)

4070 Hwy 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000

64 Business Ctr Dr
Pawleys Island, SC 29585-7963
Phone (843) 314-1314

Hospital & facility affiliations

  • Amedisys Home Health of Georgetown Home health agency, Georgetown, SC, CCN 427065
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098

Merit-based Incentive Payment System (MIPS)

Final score
28.92 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
76.41

Merit-based Incentive Payment System (MIPS)

Final score
80.46 of 100Reported as group
Quality
47.5
Promoting interoperability
100
Improvement activities
40
Cost
83.42

Merit-based Incentive Payment System (MIPS)

Final score
88.55 of 100Reported as group
Quality
85
Promoting interoperability
100
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21193SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC Current Accepting new patients
Georgetown Internists and Pediatricians Inc Pediatrics CurrentSince Oct 1, 2002 Accepting new patients
Georgetown Physician Associates LLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Georgetown Physician Associates, LLC CurrentSince Oct 1, 2024 Accepting new patients
Tidelands Health Market Common LLC CurrentSince Oct 1, 2024 Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

1022 Huger Dr
Georgetown, SC 29440
Phone (843) 546-6252

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4033 Highway 17
Ste 107
Murrells Inlet, SC 29576
Phone (843) 527-7000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

64 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-1305

Interoperability endpoints

  • Direct secure messaging: scott.nicol@ppam.eclinicaldirectplus.com
  • Direct secure messaging: snicol501491@direct.musc.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1902808447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BUSINESS CENTER DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857963",
            "telephone_number": "843-314-1314",
            "fax_number": "843-314-1307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Black River Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403304",
            "country_code": "US",
            "telephone_number": "843-527-7000",
            "fax_number": "843-520-8403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4070 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765033",
            "country_code": "US",
            "telephone_number": "843-652-1000",
            "fax_number": "843-520-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOL",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "21193",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "21193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211933",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snicol501491@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snicol501491@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Physician Associates LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 Business Center Dr",
            "city": "Pawleys Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295857963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snicol501491@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Waccamaw Community Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4070 Highway 17 Bypass",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pawleys Island, SC

Sources for this page

Verify at the official NPI Registry.