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CMC PRIMARY CARE COASTAL CAROLINA UNIVERSITY
NPI 1306689237
Internal Medicine in Conway, SC

Active since June 18, 2024CLIA 42D2311875 · Waiver
251 UNIVERSITY BLVD, STE A, CONWAY, SC 29526(843) 347-0524(843) 347-0655 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Jun 18, 2024 (2 updates tracked since 2024).

About Cmc Primary Care Coastal Carolina University NPPES

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

CMC PRIMARY CARE COASTAL CAROLINA UNIVERSITY (NPI 1306689237) is a healthcare organization registered as an internal medicine in Conway, South Carolina and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Mary Ellen Artioli, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1306689237
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONWAY HOSPITAL, INC.
Location Address251 UNIVERSITY BLVD, STE AConway, SC 29526-8834
Mailing Address300 Singleton Ridge Rd, Attention Pns CredentialingConway, SC 29526-9142 · (843) 234-6946
Phone(843) 347-0524
Fax(843) 347-0655
Organization SubpartNo
Authorized OfficialMary Ellen ArtioliCredentialing Specialist · (843) 234-6946
Enumeration DateJune 18, 2024
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1306689237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
251 UNIVERSITY BLVD, Conway, SC 29526
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Other Names 1

Doing Business AsCmc Primary Care Coastal Carolina University

Other Identifiers 1

MedicaidPG2280SC

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, 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 of Waiver 42D2311875

Cmc Primary Care Coastal Carolina University · Conway, SC
Active · expires Sep 30, 2026
CLIA Number42D2311875
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorMarie Livigni
Laboratory Phone(843) 347-0524
Laboratory LocationCmc Primary Care Coastal Carolina University251 University Blvd Suite A, Conway, SC 29526
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MS. CYNTHIA LYNN ABACHNOU APRN
Nurse Practitioner (Family)
251 UNIVERSITY BLVD
CONWAY, SC 29526
Horry County (843) 349-6543
CONWAY HOSPITAL, INC.
Internal Medicine
251 UNIVERSITY BLVD, STE B
CONWAY, SC 29526
Horry County (843) 347-1012
MRS. KARYN JANSEN GALLAGHER WHNP-BC
Nurse Practitioner (Women's Health)
251 UNIVERSITY BLVD, STE B
CONWAY, SC 29526
Horry County (843) 347-1012
MS. TIFFANY DIANNE DINEEN AGNP-C
Nurse Practitioner (Gerontology)
251 UNIVERSITY BLVD, STE B
CONWAY, SC 29526
Horry County (843) 347-1012

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 Conway Hospital, Inc.'s NPI number?

The NPI number for Conway Hospital, Inc. is 1306689237. It was assigned to this organization in the NPPES registry on June 18, 2024. The provider is doing business as Cmc Primary Care Coastal Carolina University.

Where is Conway Hospital, Inc. located?

Conway Hospital, Inc. is located at 251 University Blvd Ste A, Conway, SC 29526. The listed phone number is (843) 347-0524.

What is Conway Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Conway Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2311875) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Conway Hospital, Inc. 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 Conway Hospital, Inc. 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 Conway Hospital, Inc. was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.