Individual provider Active NPI

Marcus Carty, DO

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1952755696
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A15908 Issued in CA
Practice address
4200 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone
(843) 663-8013
Fax
(843) 663-8113
NPI assigned
Apr 19, 2016
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A15908 CA Primary

Addresses

Primary practice location

4200 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220

Mailing address

PO Box 547
Little River, SC 29566-0547
Phone (843) 663-8013

Other practice location 1

11332 Mountain View Ave
Westerly Building Suite C
Loma Linda, CA 92354-3854
Phone (909) 558-6131

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200424000866 CA Practitioner - Family Practice 8426488925 Reassigns benefits to 2 organizations
I20210107002001 SC Practitioner - Family Practice 8426488925 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

2721 E Main St
Ventura, CA 93003-2803
Phone (805) 667-2841

3733 San Dimas St
Suite 101
Bakersfield, CA 93301-1407
Phone (800) 353-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83334SCMDMilitary Health Care Provider
15908CAMDAcupuncturist
20A15908CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. Family Medicine CurrentSince Jan 4, 2021 Accepting new patients
Community Memorial Health System CurrentSince Dec 1, 2023 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Jan 4, 2021 Accepting new patients
Community Memorial Health System Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 18, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 18, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Little River Medical Center, Inc CurrentSince Jan 4, 2021 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Jan 4, 2021 Accepting new patients
Community Memorial Health System CurrentSince Dec 1, 2023 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Jan 4, 2021 Accepting new patients
Little River Medical Center Inc Family Medicine CurrentSince Jan 4, 2021 Accepting new patients

Locations

3733 San Dimas St
Bakersfield, CA 93301
Phone (661) 631-3008

3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

1202 Maricopa Hwy
Ste A
Ojai, CA 93023
Phone (805) 640-2323

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

2721 E Main St
Ventura, CA 93003
Phone (805) 656-6272

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 806-2601

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

Interoperability endpoints

  • Direct secure messaging: mcarty15585@epiclp.direct-ci.com
  • Direct secure messaging: mcarty3518184@oc.providencedirect.org
  • Direct secure messaging: mcarty94873@direct.llu.edu

Organizations & group practices 12

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 1

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1952755696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295660547",
            "telephone_number": "843-663-8013",
            "fax_number": "843-663-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CAROLINA EXCHANGE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794220",
            "telephone_number": "843-663-8013",
            "fax_number": "843-663-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11332 Mountain View Ave",
            "address_2": "Westerly Building Suite C",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543854",
            "country_code": "US",
            "telephone_number": "909-558-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTY",
        "first_name": "MARCUS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2025-01-03",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A15908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3733 San Dimas St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933011407",
            "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.