NPIMap

Organization Active NPI

South Carolina Cancer Specialist, P.a.

  • Hematology & Oncology Physician
  • Hilton Head Island, SC
National Provider Identifier
1912177239
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SOUTH CAROLINA CANCER SPECIALIST, P.A.
Practice address
45 Hospital Center CMNS Ste 200
Hilton Head Island, SC 29926-2837
Phone
(843) 689-2895
Fax
(843) 689-9270
NPI assigned
Mar 3, 2008
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Yvetta P Lee
Title
Network Credentialing Coordinator
Phone
(912) 819-2146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

45 Hospital Center CMNS Ste 200
Hilton Head Island, SC 29926-2837

Mailing address

836 E 65TH St Ste 22
Savannah, GA 31405-4493
Phone (912) 819-2146

Other practice location 1

100 Buckwalter Place Blvd Ste 130
Bluffton, SC 29910-5023
Phone (843) 836-7101

Other identifiers 4

IdentifierTypeStateIssuer
GP3117MedicaidSC
DA3698OtherSCRAILROAD MEDICARE
GP9576MedicaidSC
4225377OtherSCNCPDP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305000281 SC Part B Supplier - Clinic/Group Practice 9032007760 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
Practice locations: Bluffton, SC; Hilton Head Island, SC

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

45 Hospital Center Cmns
Ste 200
Hilton Head Island, SC 29926
Phone (843) 689-2895

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1912177239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E 65TH ST STE 22",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054493",
            "telephone_number": "912-819-2146",
            "fax_number": "912-819-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HOSPITAL CENTER CMNS STE 200",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262837",
            "telephone_number": "843-689-2895",
            "fax_number": "843-689-9270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Buckwalter Place Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299105023",
            "country_code": "US",
            "telephone_number": "843-836-7101",
            "fax_number": "843-836-7112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH CAROLINA CANCER SPECIALIST, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YVETTA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "NETWORK CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "912-819-2146"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3117",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3698",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9576",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4225377",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.