Active NPI
Sonia Ceballos, MD
- Obstetrics Physician
- Murrells Inlet, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 96321
- Practice address
- 4017 Highway 17 Ste 100
Murrells Inlet, SC 29576-5032 - Phone
- (843) 651-6525
- Fax
- (843) 357-0768
- NPI assigned
- Aug 13, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | A103960 | CA | |
| Obstetrics Physician | 207VX0000X | 96321 | SC | Primary |
| Obstetrics Physician | 207VX0000X | 13633 | NV |
Addresses
Primary practice location
4017 Highway 17 Ste 100
Murrells Inlet, SC 29576-5032
Mailing address
PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000
Other practice location 1
606 Black River Rd Ste 300
Georgetown, SC 29440-3304
Phone (843) 527-4343
Other practice location 2
3515 Caduceus Dr Ste D
Myrtle Beach, SC 29588-2922
Phone (843) 651-5689
Other practice location 3
3515 Caduceus Dr Ste B
Myrtle Beach, SC 29588-2922
Phone (843) 651-5689
Other practice location 4
3150 N Tenaya Way
#300
Las Vegas, NV 89128-0443
Phone (702) 255-3547
Other practice location 5
4320 Holmestown Rd
Myrtle Beach, SC 29588-7837
Phone (843) 546-3132
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Sonia.Ceballos@tidelandshealth.org | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | Sonia.Ceballos@tidelandshealth.org | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | Sonia.Ceballos@tidelandshealth.org | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | Sonia.Ceballos@tidelandshealth.org | Direct | Georgetown Physician Associates, LLC |
| Direct Messaging Address | Sonia.Ceballos@tidelandshealth.org | Direct | Georgetown Physician Associates, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of California, Geffen School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 N California St
Stockton, CA 95204-6019
Phone (919) 358-5014
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A103960 | CA | MD | Obstetrics Physician |
| 13633 | NV | MD | Obstetrics Physician |
| 96321 | SC | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Medical Group Coats LTD | Current | Accepting new patients | |
| P. Gill Obstetrics & Gynecology Medical Group, Inc. | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| DHP of California Medical Group Inc | Current | Accepting new patients | |
| Georgetown Physician Associates LLC | Current | Accepting new patients | |
| Georgetown Physician Associates, LLC | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Magella Medical Group, Inc. | Current | Accepting new patients | |
| Samir E. Hage, D.O., Inc. | Past | Accepting new patients |
Locations
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
File 50978
Los Angeles, CA 90074
1617 N California St
Ste 2A
Stockton, CA 95204
Phone (209) 466-8546
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
10105 Banburry Cross Dr
Ste 460
Las Vegas, NV 89144
Phone (702) 691-9160
2880 N Tenaya Way
Fl 3
Las Vegas, NV 89128
Phone (702) 427-9587
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
606 Black River Rd
Ste 300
Georgetown, SC 29440
Phone (843) 527-4343
4017 Highway 17
Ste 100
Murrells Inlet, SC 29576
Phone (843) 651-6525
2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443
3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689
3515 Caduceus Dr
Ste D
Myrtle Beach, SC 29588
Phone (843) 651-5689
4320 Holmestown Rd
Myrtle Beach, SC 29588
Phone (843) 546-3132
Interoperability endpoints
- sonia.ceballos@tidelandshealth.org
- sceballos685824@hisp.ehr.sutterhealth.org
- sceballos129416@alamedahs.direct-ci.com
Organizations & group practices 11
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.
-
- Obstetrics & Gynecology Physician
- Stockton, CA
- NPI 1679836084
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
- Maternal & Fetal Medicine Physician
- Long Beach, CA
- NPI 1376640086
-
- Obstetrics & Gynecology Physician
- Lodi, CA
- NPI 1386636165
-
- Family Medicine Physician
- Murrells Inlet, SC
- NPI 1235475930
-
- Family Medicine Physician
- Georgetown, SC
- NPI 1881410587
-
- Obstetrics & Gynecology Physician
- Georgetown, SC
- NPI 1548501976
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
-
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
- Obstetrics & Gynecology Physician
- Redlands, CA
- NPI 1811184179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1932391067",
"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": "4017 HIGHWAY 17 STE 100",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295765032",
"telephone_number": "843-651-6525",
"fax_number": "843-357-0768"
}
],
"practiceLocations": [
{
"address_1": "606 Black River Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "SC",
"postal_code": "294403304",
"country_code": "US",
"telephone_number": "843-527-4343",
"fax_number": "843-546-8308",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3515 Caduceus Dr Ste D",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295882922",
"country_code": "US",
"telephone_number": "843-651-5689",
"fax_number": "843-294-0062",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3515 Caduceus Dr Ste B",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295882922",
"country_code": "US",
"telephone_number": "843-651-5689",
"fax_number": "843-294-0062",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3150 N Tenaya Way",
"address_2": "#300",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891280443",
"country_code": "US",
"telephone_number": "702-255-3547",
"fax_number": "702-307-2204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4320 Holmestown Rd",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295887837",
"country_code": "US",
"telephone_number": "843-546-3132",
"fax_number": "843-546-2268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEBALLOS",
"first_name": "SONIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "A103960",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "SC",
"license": "96321",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NV",
"license": "13633",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sonia.Ceballos@tidelandshealth.org",
"affiliation": "Y",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "606 Black River Rd Ste 300",
"city": "Georgetown",
"state": "SC",
"country_code": "US",
"postal_code": "294403304",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sonia.Ceballos@tidelandshealth.org",
"affiliation": "Y",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4320 Holmestown Rd",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295887837",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sonia.Ceballos@tidelandshealth.org",
"affiliation": "Y",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3515 Caduceus Dr Ste D",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295882922",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sonia.Ceballos@tidelandshealth.org",
"affiliation": "Y",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4017 Highway 17 Ste 100",
"city": "Murrells Inlet",
"state": "SC",
"country_code": "US",
"postal_code": "295765032",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sonia.Ceballos@tidelandshealth.org",
"affiliation": "Y",
"affiliationName": "Georgetown Physician Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3515 Caduceus Dr Ste B",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295882922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.