Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RYAN ANTONAWICH DO
NPI 1194454868
Family Medicine - Sports Medicine in Myrtle Beach, SC

Q: What is Ryan Antonawich's NPI number?

The NPI number for Ryan Antonawich is 1194454868. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Q: What is Ryan Antonawich's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Antonawich was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since June 08, 2022PECOS Enrolled

4320 HOLMESTOWN RD, MYRTLE BEACH, SC 29588(843) 652-8440(843) 652-8441 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ryan Antonawich Do NPPES

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

RYAN ANTONAWICH DO (NPI 1194454868) is an individual sports medicine provider in Myrtle Beach, South Carolina, licensed in South Carolina (95586) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194454868

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameRYAN ANTONAWICHCredential: DO

Location Address4320 HOLMESTOWN RDMyrtle Beach, SC 29588-7837

Mailing Address4320 Holmestown RdMyrtle Beach, SC 29588-7837 · (843) 652-8440 · Fax (843) 652-8441

Phone(843) 652-8440

Fax(843) 652-8441

Sole ProprietorNo

Enumeration DateJune 8, 2022

Last NPPES UpdateOctober 19, 2026

NPPES CertifiedOctober 19, 2026

✔ NPI 1194454868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in SC · 95586

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

4320 HOLMESTOWN RD, Myrtle Beach, SC 29588

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Antonawich Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ryan Antonawich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Musc Community Physicians

118 mi

Internal Medicine

506 NORTH ST
Bamberg, SC 29003

Reassigned Medicare billing, South Carolina enrollment
2,389 clinicians in this Medicare group

NPI 1841878006 (803) 245-6290

Cep America LLC

677 mi

Emergency Medicine

701 S HEALTH PKWY
Three Rivers, MI 49093

Reassigned Medicare billing, Michigan enrollment
168 clinicians in this Medicare group

NPI 1881498202 (269) 278-1145

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29588 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER PARTRIDGE LPC/S, MAC, CACII

Counselor (Professional)