1. Home
  2. Directory
  3. South Carolina
  4. Beaufort
  5. Obstetrics Gynecology
  6. NPI Profile

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: October 18, 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
Open in Google Maps ↗

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 Health, Ambetter of North Carolina and more.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 Obstetrics & Gynecology Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

278

Medicare enrollment records show 278 clinicians reassign Medicare billing to Beaufort Memorial Obstetrics & Gynecology Specialists, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 80 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Nurse Practitioner59
Internal Medicine57
Emergency Medicine36
Family Practice26
Obstetrics/Gynecology17
General Surgery14
Pediatric Medicine13
Gastroenterology8
19 other specialties48

Nearest to this location (20)

See all 278
James Benn, NP
Nurse Practitioner
NPI 1790100287
BEAUFORT MEMORIAL SEA ISLAND PSYCHIATRY 989 RIBAUT RD, STE 330
Beaufort, SC 29902
(843) 522-5600
✔ PECOS✔ Accepts MedicareSame address
Tiffany Bersani, M.D.
Obstetrics/Gynecology
NPI 1669868444
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS 989 RIBAUT RD, STE 210
Beaufort, SC 29902
(843) 522-7820
✔ PECOS✔ Accepts MedicareSame address
Kurt Ellenberger, M.D.
Pediatric Medicine
NPI 1053376111
BEAUFORT MEMORIAL EXPRESS CARE & OCCUPATIONAL HEALTH 974 RIBAUT RD
Beaufort, SC 29902
(843) 524-3344
✔ PECOSSame address
Annemarie Gierling Gault
Nurse Practitioner
NPI 1326582081
BEAUFORT MEMORIAL MEDICAL ONCOLOGY INFUSION CENTER 989 RIBAUT RD, STE 103
Beaufort, SC 29902
(843) 522-5351
✔ PECOS✔ Accepts MedicareSame address
Marianne Hagood, APRN
Nurse Practitioner
NPI 1346645389
BEAUFORT MEMORIAL EXPRESS CARE & OCCUPATIONAL HEALTH 974 RIBAUT ROAD
Beaufort, SC 29902
(843) 524-3344
✔ PECOS✔ Accepts MedicareSame address
Julian Levin, MD, MPH
Family Practice
NPI 1124098645
BEAUFORT MEMORIAL EXPRESS CARE & OCCUPATIONAL HEALTH 974 RIBAUT RD
Beaufort, SC 29902
(843) 524-3344
✔ PECOS✔ Accepts MedicareSame address
Marlena Masavage, M.D.
Obstetrics/Gynecology
NPI 1023304847
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS 989 RIBAUT RD., STE 210
Beaufort, SC 29902
(843) 522-7820
✔ PECOS✔ Accepts MedicareSame address
Amy Taylor, CRNP
Nurse Practitioner
NPI 1235352600
BEAUFORT MEMORIAL EXPRESS CARE & OCCUPATIONAL HEALTH 974 RIBAUT RD
Beaufort, SC 29902
(843) 524-3344
✔ PECOS✔ Accepts MedicareSame address
Suzanne Wolf, FNP RN MSN
Nurse Practitioner
NPI 1174509632
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS 989 RIBAUT RD, STE 210
Beaufort, SC 29902
(843) 522-7820
✔ PECOSSame address
Melissa Mesenburg, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1215520580
1110 13TH ST
Port Royal, SC 29935
(843) 525-6257
✔ PECOS✔ Accepts Medicare3.1 mi
Susanne Baisch, FNP
Nurse Practitioner
NPI 1912908344
1680B RIBAUT RD
Port Royal, SC 29935
(843) 521-9879
✔ PECOS✔ Accepts Medicare3.5 mi
Mark Bechtel, D.O.
Family Practice
NPI 1962493361
1680 RIBAUT RD
Port Royal, SC 29935
(843) 524-3344
✔ PECOS✔ Accepts Medicare3.5 mi
Richard Fitzgerald, M.D.
Diagnostic Radiology
NPI 1912942129
1680 RIBAUT RD
Port Royal, SC 29935
(843) 522-7800
✔ PECOS3.5 mi
Jessie Goethie, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1982100285
1680 RIBAUT RD
Port Royal, SC 29935
(843) 522-7190
✔ PECOS✔ Accepts Medicare3.5 mi
Kathryn Jones, FNP
Nurse Practitioner
NPI 1275593402
1680B RIBAUT ROAD
Port Royal, SC 29935
(843) 521-9879
✔ PECOS✔ Accepts Medicare3.5 mi
Vandit Sardana, M.SC., MD, FRCSC
Orthopedic Surgery
NPI 1104345594
1680 RIBAUT RD
Port Royal, SC 29935
(843) 524-3015
✔ PECOS✔ Accepts Medicare3.5 mi
Laura Kaiser, PA-C
Physician Assistant
NPI 1033503537
BEAUFORT MEMORIAL SURGICAL SPECIALISTS 1680 RIBAUT RD
Port Royal, SC 29935
(843) 524-8171
✔ PECOS✔ Accepts Medicare3.6 mi
Alejandro Garciasalas, M.D.
Internal Medicine
NPI 1811209877
1 PINCKNEY BLVD
Beaufort, SC 29902
(843) 228-5200
✔ PECOS✔ Accepts Medicare3.9 mi
Veronica Smalheiser, NP-C, ANP-BC, CCRN
Nurse Practitioner
NPI 1235551516
300 MIDTOWN DR
Beaufort, SC 29906
(843) 770-0404
✔ PECOS✔ Accepts Medicare4.0 mi
Howell Jones, M.D.
Orthopedic Surgery
NPI 1841237138
1251 RIBAUT RD
Beaufort, SC 29902
(843) 524-3015
✔ PECOS✔ Accepts Medicare4.7 mi
See all 278 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 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.

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.

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), 278 clinicians in 27 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 (59), Internal Medicine (57) and Emergency Medicine (36). Of these, 9 practice at this address and 80 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 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 Health, Ambetter from Absolute Total Care, Ambetter of North 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.