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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: August 02, 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
Phone(843) 522-7800
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
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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

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

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 Compliance 42D2198195

Beaufort County Memorial Hospital Laboratory Services · Okatie, SC
Expired · Jul 31, 2026
CLIA Number42D2198195
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 16, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Bradford S. Collins
Laboratory Phone(843) 522-5807
Laboratory LocationBeaufort County Memorial Hospital Laboratory Services122 Okatie Center Boulevard North Suite 160, Okatie, SC 29909
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

What insurance does Beaufort County Memorial Hospital accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and 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.