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BEAUFORT MEMORIAL HOSPITAL
NPI 1063596443
General Acute Care Hospital in Beaufort, SC

Active since October 24, 2006CLIA 42D0253884 · Accreditation
955 RIBAUT RD, BEAUFORT, SC 29902(843) 522-5200(843) 522-5765 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2020, Nov 6, 2019, Jul 23, 2019 and 1 more (4 updates tracked since 2018).

About Beaufort Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUFORT MEMORIAL HOSPITAL (NPI 1063596443) is a healthcare organization registered as a general acute care hospital in Beaufort, South Carolina and active in the NPI registry since October 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Edmond Russell Baxley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063596443
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameBEAUFORT COUNTY MEMORIAL HOSPITAL
Location Address955 RIBAUT RDBeaufort, SC 29902-5441
Mailing Address955 Ribaut Road, Bmac Credentialing CoordinatorBeaufort, SC 29902-5441 · (843) 522-5674 · Fax (843) 522-5678
Phone(843) 522-5200
Fax(843) 522-5765
Organization SubpartNo
Authorized OfficialEdmond Russell BaxleyCeo · (843) 522-5140
Enumeration DateOctober 24, 2006
Last NPPES UpdateApril 10, 20204 updates tracked since enumeration
NPPES CertifiedApril 10, 2020
✔ NPI 1063596443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
955 RIBAUT RD, Beaufort, SC 29902
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Other Names 1

Doing Business AsBeaufort Memorial Hospital

Other Identifiers 1

Medicaid400676SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beaufort Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

210

Medicare enrollment records show 210 clinicians reassign Medicare billing to Beaufort Memorial Hospital, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 64 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Internal Medicine50
Nurse Practitioner45
Emergency Medicine33
Obstetrics/Gynecology17
Family Practice16
Gastroenterology8
Cardiovascular Disease (Cardiology)7
Urology5
13 other specialties29

Nearest to this location (20)

See all 210
Luke Baxley, M.D.
Emergency Medicine
NPI 1326208182
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5202
✔ PECOS✔ Accepts MedicareSame address
Celestin Chicos, MD
Internal Medicine
NPI 1760989784
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5200
✔ PECOS✔ Accepts MedicareSame address
Linh Dastous, MD
Internal Medicine
NPI 1659338903
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5200
✔ PECOS✔ Accepts MedicareSame address
Scott Dryzer, M.D
Critical Care (Intensivists)
NPI 1164494621
955 RIBAUT RD
Beaufort, SC 29902
(865) 719-2232
✔ PECOS✔ Accepts MedicareSame address
Christine Gross, M.D., PH.D.
Internal Medicine
NPI 1710447321
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5200
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Huntley, MD
Pediatric Medicine
NPI 1508387861
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5775
✔ PECOSSame address
Nathan Nowell, NP-C
Nurse Practitioner
NPI 1447823422
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5200
✔ PECOSSame address
Richard Woerndle, DO
Critical Care (Intensivists)
NPI 1639298912
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5200
✔ PECOS✔ Accepts MedicareSame address
Meredith Bernhard, MD
Urology
NPI 1093397515
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5200
✔ PECOSSame address
Cecil Mcelveen, MD
Family Practice
NPI 1861471989
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5200
✔ PECOS✔ Accepts MedicareSame address
Christeena Twal, MD
Emergency Medicine
NPI 1316631930
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5101
✔ PECOSSame address
Evan Kane, M.D.
Emergency Medicine
NPI 1003250051
955 RIBAUT RD EMERGENCY DEPT
Beaufort, SC 29902
(843) 522-5200
✔ PECOS✔ Accepts MedicareSame address
Saeed Rehman, MD
Emergency Medicine
NPI 1013996396
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5200
✔ PECOS✔ Accepts MedicareSame address
Lawrence Coleman, M.D.
Pediatric Medicine
NPI 1912962630
964 RIBAUT RD STE 1
Beaufort, SC 29902
(843) 524-5437
✔ PECOS0.1 mi
John Fontana, MD
Obstetrics/Gynecology
NPI 1043228752
989 RIBAUT RD STE 210
Beaufort, SC 29902
(843) 524-8151
✔ PECOS0.1 mi
Kathryn Sams, DNP, APRN, FNP-C, CN
Nurse Practitioner
NPI 1497740732
954 RIBAUT RD
Beaufort, SC 29902
(843) 522-7290
✔ PECOS✔ Accepts Medicare0.1 mi
Kurt Gambla, DO
Internal Medicine
NPI 1982699591
989 RIBAUT RD SUITE 260
Beaufort, SC 29902
(843) 522-7600
✔ PECOS0.1 mi
Kimberly Edwards
Registered Dietitian or Nutrition Professional
NPI 1285001834
990 RIBAUT RD
Beaufort, SC 29902
(843) 522-5562
0.2 mi
Edward Burrus, MD
General Surgery
NPI 1780656595
1055 RIBAUT RD STE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS✔ Accepts Medicare0.3 mi
James Tober, MD
Vascular Surgery
NPI 1538132931
1055 RIBAUT RD STE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS✔ Accepts Medicare0.3 mi
See all 210 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 42D0253884

Beaufort Memorial Hospital · Beaufort, SC
Active · expires Jan 2, 2027
CLIA Number42D0253884
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Evelyn T. Bruner
Laboratory Phone(843) 522-5129
Laboratory LocationBeaufort Memorial Hospital955 Ribaut Rd, Beaufort, SC 29902
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaufort County Memorial Hospital's NPI number?

The NPI number for Beaufort County Memorial Hospital is 1063596443. It was assigned to this organization in the NPPES registry on October 24, 2006. The provider is doing business as Beaufort Memorial Hospital.

Where is Beaufort County Memorial Hospital located?

Beaufort County Memorial Hospital is located at 955 Ribaut Rd, Beaufort, SC 29902. The listed phone number is (843) 522-5200.

What is Beaufort County Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Beaufort County Memorial Hospital enrolled in Medicare?

Yes. Beaufort County Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beaufort County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 210 clinicians in 21 Medicare specialties reassign their Medicare billing to Beaufort County Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (50), Nurse Practitioner (45) and Emergency Medicine (33). Of these, 13 practice at this address and 64 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Beaufort County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 42D0253884) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beaufort County Memorial Hospital accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Beaufort County Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beaufort County Memorial Hospital was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.