Individual provider Active NPI

Sonia Ceballos, MD

  • Obstetrics Physician
  • Murrells Inlet, SC
National Provider Identifier
1932391067
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
96321 Issued in SC
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

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120910000329 NV Practitioner - Obstetrics/Gynecology 4688822083 Reassigns benefits to 1 organization
I20240521001528 CA Practitioner - Obstetrics/Gynecology 4688822083 Reassigns benefits to 4 organizations
I20260225003507 SC Practitioner - Obstetrics/Gynecology 4688822083 Reassigns benefits to 1 organization

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
DHP of California Medical Group IncGroup PAC ID 9234388745, 12 clinicians

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

LicenseStateTypeSpecialty
A103960CAMDObstetrics Physician
13633NVMDObstetrics Physician
96321SCMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
P. Gill Obstetrics & Gynecology Medical Group, Inc. CurrentSince Dec 31, 2025 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 28, 2022 Accepting new patients
DHP of California Medical Group Inc CurrentSince Sep 23, 2024 Accepting new patients
Georgetown Physician Associates LLC CurrentSince Mar 9, 2026 Accepting new patients
Georgetown Physician Associates, LLC CurrentSince Mar 9, 2026 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 28, 2022 Accepting new patients
Magella Medical Group, Inc. CurrentSince Jan 1, 2025 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

  • Direct secure messaging: sonia.ceballos@tidelandshealth.org
  • Direct secure messaging: sceballos685824@hisp.ehr.sutterhealth.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.