NPIMap

Individual provider Active NPI

Eugene M. Giddens, MD

  • Neurological Surgery Physician
  • Myrtle Beach, SC
National Provider Identifier
1932168986
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
15143 Issued in SC
Practice address
920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182
Phone
(843) 449-2336
Fax
(843) 497-0625
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 15143 SC Primary

Addresses

Primary practice location

920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182

Mailing address

920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182
Phone (843) 449-2336

Other identifiers 7

IdentifierTypeStateIssuer
0604782OtherSCPHP
1000742OtherSCEVOLUTIONS
015143600MedicaidSC
01838955MedicaidPA
5402760OtherSCAETNA
1061024OtherWVWORK COMP
690570YMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address EUGENE.GIDDENS@hca5.eclinicaldirectplus.com

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
I20070730000635 SC Practitioner - Neurosurgery 0648298141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Strand Specialty Associates, LLCGroup PAC ID 0648451344, 29 clinicians

Practice addresses (Care Compare)

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

920 Doug White Dr
Suite 130
Myrtle Beach, SC 29572-4120
Phone (843) 848-1440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.76 of 100Reported as individual
Quality
83.5
Promoting interoperability
100
Improvement activities
40
Cost
72.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion213
Laminectomy or laminotomy (partial removal of spine bones)43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15143SCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Strand Specialty Associates, LLC CurrentSince Sep 1, 2011 Accepting new patients
Grand Strand Regional Medical Center LLC Past Accepting new patients
Strand Regional Specialty Past Accepting new patients
Strand Regional Specialty Past Accepting new patients

Locations

2376 Cypress Cir
Ste 200
Conway, SC 29526
Phone (843) 234-1710

4237 River Hills Dr
Ste 150
Little River, SC 29566
Phone (843) 281-2778

4367 Riverwood Dr
Unit 120
Murrells Inlt, SC 29576
Phone (843) 215-1700

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

8170 Rourk St
Myrtle Beach, SC 29572
Phone (843) 449-1963

849 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 449-2336

920 Doug White Dr
Ste 460
Myrtle Beach, SC 29572
Phone (843) 449-2336

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: eugene.giddens@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1932168986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 460",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724182",
            "telephone_number": "843-449-2336",
            "fax_number": "843-497-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 460",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724182",
            "telephone_number": "843-449-2336",
            "fax_number": "843-497-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDENS",
        "first_name": "EUGENE",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "15143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "0604782",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVOLUTIONS",
            "identifier": "1000742",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015143600",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01838955",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5402760",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "1061024",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690570Y",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EUGENE.GIDDENS@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "849 82nd Pkwy",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295724614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.