BEAUFORT MEMORIAL RADIATION ONCOLOGY
NPI 1174769764
Radiology - Radiation Oncology in Beaufort, SC

Active since January 02, 2009
989 RIBAUT RD STE 130, BEAUFORT, SC 29902(843) 522-7800(843) 522-7800 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2020, Mar 10, 2020, Nov 6, 2019 and 3 more (6 updates tracked since 2015).

About Beaufort Memorial Radiation Oncology NPPES

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

BEAUFORT MEMORIAL RADIATION ONCOLOGY (NPI 1174769764) is a healthcare organization registered as a radiation oncology in Beaufort, South Carolina and active in the NPI registry since January 2009. The organization maintains a secondary practice location in Okatie and lists Edmond Russell Baxley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174769764
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameBEAUFORT COUNTY MEMORIAL HOSPITAL
Location Address989 RIBAUT RD STE 130Beaufort, SC 29902
Mailing Address955 Ribaut Rd, Bmac CredentialingBeaufort, SC 29902-5441 · (843) 522-5785 · Fax (843) 522-5678
Fax(843) 522-7800
Organization SubpartNo
Authorized OfficialEdmond Russell BaxleyCeo · (843) 522-5140
Enumeration DateJanuary 2, 2009
Last NPPES UpdateJune 4, 20206 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1174769764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
989 RIBAUT RD STE 130, Beaufort, SC 29902

Other Names 1

Other NameBeaufort Memorial Radiation Oncology

Secondary Practice Location 1

Location 1122 Okatie Center Blvd N Ste 102Okatie, SC 29909-3750 · Phone (843) 522-7800

Other Identifiers 1

MedicaidGP8977SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 Radiation Oncology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to Beaufort Memorial Radiation Oncology, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner28
Family Practice19
Internal Medicine15
General Surgery13
Pediatric Medicine13
Radiation Oncology12
Orthopedic Surgery5
Psychiatry5
8 other specialties13

Nearest to this location (20)

See all 123
Internal Medicine
NPI 1982699591
989 RIBAUT RD SUITE 260
Beaufort, SC 29902
(843) 522-7600
✔ PECOSSame address
Psychiatry
NPI 1184683880
989 RIBAUT RD SUITE 240
Beaufort, SC 29902
(843) 522-5600
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1679568216
989 RIBAUT RD STE 260
Beaufort, SC 29902
(843) 522-7600
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1063409662
989 RIBAUT RD STE 260
Beaufort, SC 29902
(843) 522-7600
✔ PECOSSame address
Nurse Practitioner
NPI 1902152911
989 RIBAUT RD SUITE 260
Beaufort, SC 29902
(843) 522-7605
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1699723262
989 RIBAUT RD SUITE 260
Beaufort, SC 29902
(843) 522-7600
✔ PECOSSame address
Nurse Practitioner
NPI 1831833599
989 RIBAUT RD
Beaufort, SC 29902
(843) 522-5600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558630533
974 RIBAUT RD
Beaufort, SC 29902
(843) 524-3344
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1508387861
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5775
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1447823422
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5200
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1912962630
964 RIBAUT RD STE 1
Beaufort, SC 29902
(843) 524-5437
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1497740732
954 RIBAUT RD
Beaufort, SC 29902
(843) 522-7290
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1780656595
1055 RIBAUT RD STE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1174595961
1055 RIBAUT RD STE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS0.2 mi
General Surgery
NPI 1952373763
1055 RIBAUT ROAD SUITE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS✔ Accepts Medicare0.2 mi
Vascular Surgery
NPI 1538132931
1055 RIBAUT RD STE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1255991410
1055 RIBAUT RD STE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1568915783
1251 RIBAUT RD STE B
Beaufort, SC 29902
(843) 524-3015
✔ PECOS✔ Accepts Medicare0.8 mi
Orthopedic Surgery
NPI 1841237138
1251 RIBAUT RD
Beaufort, SC 29902
(843) 524-3015
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1992257703
11 TODD DRIVE DBA LTC HEALTH SOLUTIONS
Beaufort, SC 29902
(800) 491-0909
✔ PECOS✔ Accepts Medicare0.9 mi
See all 123 clinicians

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

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 1174769764. It was assigned to this organization in the NPPES registry on January 2, 2009. The provider is also known as Beaufort Memorial Radiation Oncology.

Where is Beaufort County Memorial Hospital located?

Beaufort County Memorial Hospital is located at 989 Ribaut Rd Ste 130, Beaufort, SC 29902. The listed phone number is (843) 522-7800.

What is Beaufort County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

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), 123 clinicians in 16 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 Nurse Practitioner (28), Family Practice (19) and Internal Medicine (15). Of these, 7 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beaufort County Memorial Hospital accept?

Health plans from Molina Healthcare 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 June 4, 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.