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BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS
NPI 1235552746
Obstetrics & Gynecology in Beaufort, SC

Active since February 04, 2014CLIA 42D2073987 · Microscopy
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS, 989 RIBAUT RD, STE 210, BEAUFORT, SC 29902(843) 522-7820(844) 296-2295 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2020, Jun 5, 2020, May 13, 2020 and 4 more (7 updates tracked since 2016).

About Beaufort Memorial Obstetrics & Gynecology Specialists NPPES

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

BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS (NPI 1235552746) is a healthcare organization registered as an obstetrics & gynecology in Beaufort, South Carolina and active in the NPI registry since February 2014. The organization holds a CLIA Microscopy certificate valid through February 26, 2028, maintains 2 additional practice locations, and lists Edmond Russell Baxley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235552746
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameBEAUFORT COUNTY MEMORIAL HOSPITAL
Location AddressBEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS, 989 RIBAUT RD, STE 210Beaufort, SC 29902-5472
Mailing Address955 Ribaut Rd, Bmac Credentialing CoordinatorBeaufort, SC 29902-5441 · (843) 522-5674 · Fax (843) 522-5678
Phone(843) 522-7820
Fax(844) 296-2295
Organization SubpartYes
Authorized OfficialEdmond Russell BaxleyCeo · (843) 522-5140
Enumeration DateFebruary 4, 2014
Last NPPES UpdateJune 18, 20207 updates tracked since enumeration
NPPES CertifiedJune 18, 2020
✔ NPI 1235552746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SC · 36465
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS, Beaufort, SC 29902
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Other Names 1

Other NameBeaufort Memorial Obstetrics & Gynecology Specialists

Secondary Practice Locations 2

Location 1BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS, 7 ARLEY WAY, STE 101BLUFFTON, SC 29910-4301 · Phone (843) 522-7820 · Fax (844) 296-2295
Location 2Beaufort Memorial Obstetrics & Gynecology Specialists, 122 Okatie Center Blvd N Ste 320Okatie, SC 29909-3750 · Phone (843) 522-7820 · Fax (844) 296-2295

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 for Provider-Performed Microscopy Procedures (PPMP) 42D2073987

Beaufort Memorial Obstetrics & Gynecology Speciali · Beaufort, SC
Active · expires Feb 26, 2028
CLIA Number42D2073987
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorDr. Tiffany A. Bersani
Laboratory Phone(843) 522-7820
Laboratory LocationBeaufort Memorial Obstetrics & Gynecology Speciali989 Ribaut Road, Ste 210, Beaufort, SC 29902
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

DR. MARLENA MATTINGLY MASAVAGE M.D.
Obstetrics & Gynecology
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS, 989 RIBAUT RD., STE 210
BEAUFORT, SC 29902
Beaufort County (843) 522-7820
MS. SUZANNE WOLF FNP RN MSN
Nurse Practitioner (Family)
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS, 989 RIBAUT RD, STE 210
BEAUFORT, SC 29902
Beaufort County (843) 522-7820
TIFFANY ANNE BERSANI M.D.
Obstetrics & Gynecology
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS, 989 RIBAUT RD, STE 210
BEAUFORT, SC 29902
Beaufort County (843) 522-7820

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 1235552746. It was assigned to this organization in the NPPES registry on February 4, 2014. The provider is also known as Beaufort Memorial Obstetrics & Gynecology Specialists.

Where is Beaufort County Memorial Hospital located?

Beaufort County Memorial Hospital is located at Beaufort Memorial Obstetrics & Gynecology Specialists 989 Ribaut Rd, Ste 210, Beaufort, SC 29902. The listed phone number is (843) 522-7820.

What is Beaufort County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Beaufort County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D2073987) is associated with this NPI, valid through February 26, 2028. 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, 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 18, 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.