Surgical Associates of Myrtle Beach, LLC
NPI 1295773695ActiveOrganization· Surgery· Myrtle Beach, SC
Surgery in Myrtle Beach, South Carolina, registered in NPPES in June 2006. The authorized official on file is Lane Ingram Moore, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295773695 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2006 |
| Last updated in NPPES | Nov 10, 2022 |
| Certified by provider | Nov 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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