BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS
NPI 1235552746
Obstetrics & Gynecology in Beaufort, SC
NPI Status: Active since February 04, 2014
Contact Information
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS
989 RIBAUT RD, STE 210
BEAUFORT, SC
ZIP 29902
Phone: (843) 522-7820
Fax: (844) 296-2295
- Organization
- Obstetrics & Gynecology
- Accepts Insurance
- CLIA Number: 42D2073987
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-26-2028
About BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS
This page provides the complete NPI Profile along with additional information for Beaufort Memorial Obstetrics & Gynecology Specialists, a women's health care provider established in Beaufort, South Carolina operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1235552746 assigned on February 2014. The practitioner's primary taxonomy code is 207V00000X with license number 36465 (SC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Beaufort Memorial Obstetrics & Gynecology Specialists. The authorized official of this NPI record is Mr. Edmond Russell Baxley Iii (Ceo)
- NPI
- 1235552746
- Provider Legal Name
- BEAUFORT COUNTY MEMORIAL HOSPITAL
- Other Organization Name
- BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS 989 RIBAUT RD, STE 210 BEAUFORT, SC 29902
- Location Phone
- (843) 522-7820
- Location Fax
- (844) 296-2295
- Mailing Address
- 955 RIBAUT RD BMAC CREDENTIALING COORDINATOR BEAUFORT, SC 29902
- Mailing Phone
- (843) 522-5674
- Mailing Fax
- (844) 296-2295
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-04-2014
- Last Update Date
- 06-18-2020
- Code Navigator
Women's health care providers like Beaufort Memorial Obstetrics & Gynecology Specialists treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Secondary Locations
- BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS 7 ARLEY WAY, STE 101
BLUFFTON, SC 29910
(843) 522-7820 - Beaufort Memorial Obstetrics & Gynecology Specialists 122 Okatie Center Blvd N Ste 320
Okatie, SC 29909
(843) 522-7820
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36465
- License State
- SC
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Standard Expanded Bronze - HMO
- Standard Gold - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze with Atrium Health - HMO
- Blue Beaufort Bronze 1 - HMO
- Blue Beaufort Bronze 2 - HMO
- Blue Beaufort Gold 1 - HMO
- Blue Beaufort Silver 1 - HMO
- Blue Beaufort Silver 2 - HMO
- Blue Beaufort Silver 2 + Adult Vision - HMO
- Blue Beaufort Standard Expanded Bronze - HMO
- Blue Beaufort Standard Gold - HMO
- Blue Beaufort Standard Silver - HMO
- Blue Direction Bronze 1 - POS
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Expanded Bronze - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Gold Value - HMO
- Molina Gold Value Plus with Adult Dental and Vision - HMO
- Molina Gold Value Plus with Adult Vision - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2073987
- Facility Type
- Physician Office
- Certificate Effective Date
- February 27, 2026
- Certificate Expiration Date
- February 26, 2028
- Laboratory Director
- DR. TIFFANY A. BERSANI
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Beaufort Memorial Obstetrics & Gynecology Specialists in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1235552746, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
BEAUFORT, SC 29902
BEAUFORT, SC 29902
BEAUFORT, SC 29902
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235552746, enumerated as an "organization" on February 04, 2014.
The provider is located at BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS 989 RIBAUT RD, STE 210 BEAUFORT, SC 29902 and the phone number is (843) 522-7820.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.