SURGICAL ASSOCIATES OF MYRTLE BEACH
NPI 1295773695
Surgery in Myrtle Beach, SC

Q: What is Surgical Associates Of Myrtle Beach, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 04, 2006

845 82ND PKWY, MYRTLE BEACH, SC 29572(843) 449-9621(843) 449-4921 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Surgical Associates Of Myrtle Beach NPPES

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

SURGICAL ASSOCIATES OF MYRTLE BEACH (NPI 1295773695) is a healthcare organization registered as a surgery in Myrtle Beach, South Carolina and active in the NPI registry since June 2006. The organization lists Lane Ingram Moore, Partner, as its authorized official.

NPPES Registry Identity

NPI1295773695

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSURGICAL ASSOCIATES OF MYRTLE BEACH, LLC

Location Address845 82ND PKWYMyrtle Beach, SC 29572-4614

Mailing Address845 82nd PkwyMyrtle Beach, SC 29572-4614 · (843) 449-9621 · Fax (843) 449-4921

Phone(843) 449-9621

Fax(843) 449-4921

Organization SubpartNo

Authorized OfficialLane Ingram MoorePartner · (843) 449-9621

Enumeration DateJune 4, 2006

Last NPPES UpdateNovember 10, 2022

NPPES CertifiedNovember 10, 2022

✔ NPI 1295773695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

845 82ND PKWY, Myrtle Beach, SC 29572

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Other Names 1

Other NameSurgical Associates Of Myrtle Beach

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgical Associates Of Myrtle Beach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Surgical Associates Of Myrtle Beach, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

George Nicholson, MD

General Surgery

NPI 1184608937

845 82ND PKWY
Myrtle Beach, SC 29572

(843) 449-9621

✔ PECOS✔ Accepts MedicareSame address

Lane Moore, M.D.

General Surgery

NPI 1598723900

845 82ND PKWY
Myrtle Beach, SC 29572

(843) 449-9621

✔ PECOS✔ Accepts MedicareSame address

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

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 Surgical Associates Of Myrtle Beach, LLC's NPI number?

The NPI number for Surgical Associates Of Myrtle Beach, LLC is 1295773695. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is also known as Surgical Associates Of Myrtle Beach.

Where is Surgical Associates Of Myrtle Beach, LLC located?

Surgical Associates Of Myrtle Beach, LLC is located at 845 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 449-9621.

What is Surgical Associates Of Myrtle Beach, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Surgical Associates Of Myrtle Beach, LLC enrolled in Medicare?

Yes. Surgical Associates Of Myrtle Beach, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgical Associates Of Myrtle Beach, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Surgical Associates Of Myrtle Beach, LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Surgical Associates Of Myrtle Beach, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Surgical Associates Of Myrtle Beach, LLC 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 Surgical Associates Of Myrtle Beach, LLC was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.