Individual provider Active NPI

Victor M Diaz-Gonzalez, M.D.

  • Interventional Cardiology Physician
  • Pawley's Island, SC
National Provider Identifier
1952303620
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
20052 Issued in SC
Practice address
9653 Ocean Hwy
Pawleys Island, SC 29585-7425
Phone
(843) 235-3131
Fax
(843) 237-9646
NPI assigned
Aug 12, 2005
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20052 SC
Interventional Cardiology Physician 207RI0011X 20052 SC Primary

Addresses

Primary practice location

9653 Ocean Hwy
Pawleys Island, SC 29585-7425

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

4040 Highway 17 Unit 202
Murrells Inlet, SC 29576-5098
Phone (843) 235-3131

Other practice location 2

2200 Crow Ln Ste 303A
Myrtle Beach, SC 29577-1663
Phone (843) 848-5310

Other practice location 3

456 N Main St
Hemingway, SC 29554-9190
Phone (843) 235-3131

Other practice location 4

701 S Morgan Ave
Andrews, SC 29510-2959
Phone (843) 235-3131

Other practice location 5

1014 Huger Dr
Georgetown, SC 29440-3322
Phone (843) 235-3131

Other identifiers 1

IdentifierTypeStateIssuer
T42031MedicaidSC

Electronic endpoints 8

TypeEndpointUseAffiliation
Direct Messaging Address vdiazgonzalez164366@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address vdiazgonzalez164366@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address vdiazgonzalez164366@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address vdiazgonzalez164366@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address vdiazgonzalez164366@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address vdiazgonzalez164366@direct.musc.edu Direct Waccamaw Community Hospital
Direct Messaging Address vdiazgonzalez164366@direct.musc.edu Direct Georgetown Memorial Hospital
Direct Messaging Address vdiazgonzalez164366@direct.musc.edu Direct Georgetown Physician Associates, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091221000439 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7911047063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Puerto Rico School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waccamaw Community HospitalGroup PAC ID 9133036932, 65 clinicians
Georgetown Memorial HospitalGroup PAC ID 8224942123, 90 clinicians

Practice addresses (Care Compare)

4070 Hwy 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000

9653 Ocean Hwy
Pawleys Island, SC 29585-7425
Phone (843) 235-3131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
80.46 of 100Reported as group
Quality
47.5
Promoting interoperability
100
Improvement activities
40
Cost
83.42

Merit-based Incentive Payment System (MIPS)

Final score
88.55 of 100Reported as group
Quality
85
Promoting interoperability
100
Improvement activities
40
Cost
76.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting46
Pacemaker insertion or repair39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC Current Accepting new patients
Georgetown Physician Associates, LLC CurrentSince Dec 1, 2016 Accepting new patients
Tidelands Health Market Common LLC CurrentSince Sep 4, 2019 Accepting new patients
Georgetown Memorial Hospital CurrentSince May 28, 1998 Accepting new patients
Georgetown Physician Associates LLC CurrentSince Dec 1, 2016 Accepting new patients
Inlet Pulmonary Critical Care and Sleep Medicine, PA CurrentSince Jul 1, 2016 Accepting new patients
Waccamaw Community Hospital CurrentSince Oct 20, 2014 Accepting new patients
Georgetown Memorial Hospital CurrentSince May 28, 1998 Accepting new patients
Georgetown Physician Associates, LLC Cardiovascular Disease Past Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

701 S Morgan Ave
Andrews, SC 29510
Phone (843) 264-5253

1014 Huger Dr
Georgetown, SC 29440
Phone (843) 652-8390

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

456 N Main St
Hemingway, SC 29554
Phone (843) 558-9319

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4040 Highway 17
Unit 202
Murrells Inlet, SC 29576
Phone (843) 652-8390

4057 Highway 17
Murrells Inlt, SC 29576
Phone (843) 652-4800

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

2200 Crow Ln
Ste 303A
Myrtle Beach, SC 29577
Phone (843) 848-5310

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

9653 Ocean Hwy
Pawleys Island, SC 29585

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBFHAD
  • Direct secure messaging: vdiazgonzalez164366@direct.musc.edu

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1952303620",
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        },
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    "practiceLocations": [
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        {
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        },
        {
            "address_1": "701 S Morgan Ave",
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            "fax_number": "843-237-9797",
            "country_name": "United States",
            "address_type": "DOM"
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        {
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            "country_code": "US",
            "telephone_number": "843-235-3131",
            "fax_number": "843-237-9797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ-GONZALEZ",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "20052",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "20052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T42031",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vdiazgonzalez164366@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
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            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "456 N Main St",
            "city": "Hemingway",
            "state": "SC",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
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            "affiliation": "Y",
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            "useDescription": "Direct",
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            "contentTypeDescription": "CSV",
            "address_1": "9653 Ocean Hwy",
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            "address_type": "DOM"
        },
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            "endpointType": "DIRECT",
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            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
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            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vdiazgonzalez164366@direct.musc.edu",
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            "endpointDescription": "Direct Messaging",
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            "use": "DIRECT",
            "useDescription": "Direct",
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            "contentTypeDescription": "CSV",
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            "country_code": "US",
            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vdiazgonzalez164366@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Waccamaw Community Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vdiazgonzalez164366@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vdiazgonzalez164366@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4040 Highway 17 Unit 202",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

Verify at the official NPI Registry.