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SEASHORE PEDIATRICS
NPI 1265458251
Pediatrics in Loris, SC

Active since July 14, 2006CLIA 42D1003512 · Waiver
3109 CASEY ST, BOX 669, LORIS, SC 29569(843) 716-2229(843) 716-2483 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Seashore Pediatrics NPPES

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

SEASHORE PEDIATRICS (NPI 1265458251) is a healthcare organization registered as a pediatrics in Loris, South Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 11, 2028 and lists Donald Niles Ludlow, President Seashore Pediatrics Pc, as its authorized official.

NPPES Registry Identity

NPI1265458251
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSEASHORE PEDIATRICS
Location Address3109 CASEY ST, BOX 669Loris, SC 29569-2807
Mailing AddressPo Box 669Loris, SC 29569-0669 · (843) 716-2229 · Fax (843) 716-2483
Phone(843) 716-2229
Fax(843) 716-2483
Organization SubpartNo
Authorized OfficialDonald Niles LudlowPresident Seashore Pediatrics Pc · (843) 716-2229
Enumeration DateJuly 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265458251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3109 CASEY ST, Loris, SC 29569
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Other Identifiers 2

Medicaid5901589NC
MedicaidGP 3483SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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, Blue Cross and Blue Shield of NC and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 42D1003512

Seashore Pediatrics, PC · Loris, SC
Active · expires Jul 11, 2028
CLIA Number42D1003512
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorDr. Donald N. Ludlow Jr
Laboratory Phone(843) 716-2229
Laboratory LocationSeashore Pediatrics, PC2828 Bayboro St, Loris, SC 29569
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D1003513

Seashore Pediatrics · Longs, SC
Expired · Jul 11, 2026
CLIA Number42D1003513
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2024
Certificate Expiration DateJuly 11, 2026
Laboratory DirectorDr. Donald N. Ludlow
Laboratory Phone(843) 716-2229
Laboratory LocationSeashore Pediatrics170 Surfrider Blvd, Unit A, Longs, SC 29568
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

WANDA W GRAINGER FNP
Nurse Practitioner (Family)
3109 CASEY ST, SUITE A
LORIS, SC 29569
Horry County (843) 756-9292
MCLEOD PHYSICIAN ASSOCIATES II
Family Medicine
3109 CASEY ST
LORIS, SC 29569
Horry County (843) 756-9292
MCLEOD PHYSICIAN ASSOCIATES II
Internal Medicine
3109 CASEY ST, SUITE B
LORIS, SC 29569
Horry County (843) 756-8090
MRS. DONNA C SELLERS FNP
Nurse Practitioner (Family)
3109 CASEY ST, SUITE A
LORIS, SC 29569
Horry County (843) 756-9292
MRS. ASHLEY SMITH WILSON P.A.
Physician Assistant
3109 CASEY ST
LORIS, SC 29569
Horry County (843) 756-9292
DR. GARY JOSEPH BARRETT MD
Internal Medicine
3109 CASEY ST, SUITE B
LORIS, SC 29569
Horry County (843) 756-8090
ASHLEY NICOLE TILLER PA-C
Physician Assistant
3109 CASEY ST
LORIS, SC 29569
Horry County (843) 756-9292
GARY J BARRETT MD PA
Internal Medicine
3109 CASEY ST
LORIS, SC 29569
Horry County (843) 756-8090

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 Seashore Pediatrics's NPI number?

The NPI number for Seashore Pediatrics is 1265458251. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Seashore Pediatrics located?

Seashore Pediatrics is located at 3109 Casey St Box 669, Loris, SC 29569. The listed phone number is (843) 716-2229.

What is Seashore Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Seashore Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1003512) is associated with this NPI, valid through July 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Seashore Pediatrics accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and First Choice Next list Seashore Pediatrics 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 Seashore Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.