Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC
NPI 1669188538ActiveOrganization· Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery· Myrtle Beach, SC
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery in Myrtle Beach, South Carolina, registered in NPPES in January 2023. The authorized official on file is Janet E. Harris-Hicks, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669188538 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2023 |
| Last updated in NPPES | Jan 25, 2023 |
| Certified by provider | Jan 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery Primary | 207VF0040X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
Other Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery providers in Myrtle Beach
- 1225125669