Active NPI
Beverly M Genez, M.D.
- Diagnostic Radiology Physician
- Mount Pleasant, SC
National Provider Identifier
1922020023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 14249
- Practice address
- 636 G Longpoint Rd
#125
Mount Pleasant, SC 29464-7905 - Phone
- (843) 352-0674
- Fax
- (843) 971-3382
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 14249 | SC | Primary |
Addresses
Primary practice location
636 G Longpoint Rd
#125
Mount Pleasant, SC 29464-7905
Mailing address
PO Box 100523
Florence, SC 29501-0523
Phone (843) 883-5010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142492 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14249 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Neurosciences Institute | Past | Accepting new patients | |
| Carolina Radiology Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
| Carolina Imaging Consultants P a | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Neuroradiology Physician
- Mt Pleasant, SC
- NPI 1447316963
-
- Diagnostic Radiology Physician
- Conway, SC
- NPI 1225014657
-
- Ophthalmology Physician
- Charleston, SC
- NPI 1225094600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1922020023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100523",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295010523",
"telephone_number": "843-883-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 G LONGPOINT RD",
"address_2": "#125",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294647905",
"telephone_number": "843-352-0674",
"fax_number": "843-971-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENEZ",
"first_name": "BEVERLY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "14249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142492",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.