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BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP
NPI 1336180165
General Practice in Beaufort, SC

Active since June 10, 2006CLIA Certified · 2 labs
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN, BEAUFORT, SC 29906(843) 770-0404(844) 296-2308 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2024, Oct 21, 2020, Jun 18, 2020 and 7 more (10 updates tracked since 2017).

About Beaufort Memorial Lowcountry Medical Group NPPES

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

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP (NPI 1336180165) is a healthcare organization registered as a general practice in Beaufort, South Carolina and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates, maintains 12 additional practice locations, and lists Edmund Russell Baxley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336180165
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBEAUFORT COUNTY MEMORIAL HOSPITAL
Location AddressBEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWNBeaufort, SC 29906-5200
Mailing Address955 Ribaut Rd, Bmac CredentialingBeaufort, SC 29902-5441 · (843) 522-7843 · Fax (843) 522-5678
Phone(843) 770-0404
Fax(844) 296-2308
Organization SubpartYes
Authorized OfficialEdmund Russell BaxleyCeo · (843) 522-5140
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 9, 202410 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1336180165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedUrologyTaxonomy 208800000X
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, Beaufort, SC 29906
Open in Google Maps ↗

Other Names 1

Other NameBeaufort Memorial Lowcountry Medical Group

Secondary Practice Locations 12

Location 1BMH HOSPITALISTS, 955 RIBAUT RDBEAUFORT, SC 29902-5441 · Phone (843) 522-5775
Location 2Beaufort Memorial Lowcountry Medical Group (GI)-Okatie, 122 Okatie Center Blvd N Ste 300Okatie, SC 29909-3750 · Phone (843) 770-0404 · Fax (844) 296-2309
Location 3BEAUFORT MEMORIAL HEART SPECIALISTS, 11 ARLEY WAY, STE 201BLUFFTON, SC 29910-4883 · Phone (843) 770-0404 · Fax (844) 295-9872
Location 4Beaufort Memorial Heart Specialists-Okatie, 122 Okatie Center Blvd N Suite 300Okatie, SC 29909-3750 · Phone (843) 770-0404 · Fax (844) 295-9872
Location 5BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 11 ARLEY WAY, STE 201BLUFFTON, SC 29910-4883 · Phone (843) 770-0404 · Fax (844) 296-2309
Location 6BEAUFORT MEMORIAL ONCOLOGY SPECIALISTS, 989 RIBAUT RD, STE 310BEAUFORT, SC 29902-5426 · Phone (843) 522-7350 · Fax (844) 296-2296
Location 7BEAUFORT MEMORIAL HEART SPECIALISTS, 1000 PINE STREET WESTVARNVILLE, SC 29944-0969 · Phone (843) 770-0404 · Fax (844) 295-9872
Location 8BEAUFORT MEMORIAL HEART SPECIALISTS, 300 MIDTOWN DRIVEBEAUFORT, SC 29906-5200 · Phone (843) 770-0404 · Fax (844) 295-9872
Location 9122 Okatie Center Blvd N Ste 300Okatie, SC 29909-3782 · Phone (843) 524-7607
Location 10BEAUFORT MEMORIAL UROLOGY SPECIALISTS, 1055 RIBAUT ROAD, STE 10BEAUFORT, SC 29902-3402 · Phone (843) 524-7607 · Fax (833) 449-4084
Location 11Beaufort Memorial Plastic Surgery and Aesthetics, 122 Okatie Center Blvd N, Ste 220Okatie, SC 29909 · Phone (843) 707-8020
Location 12BEAUFORT MEMORIAL ONCOLOGY SPECIALIST-OKATIE, 122 Okatie Center Blvd N Ste 110Okatie, SC 29909-3750 · Phone (843) 522-7350 · Fax (844) 296-2296

Other Identifiers 5

Medicaid101376SC
MedicaidGP6561SC
Other3257Medicare Id-type Unspecified Medicare Part B
Medicaid270920SC
Other3257Medicare Id-type Unspecified Medicare Part B

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 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 for Provider-Performed Microscopy Procedures (PPMP) 42D0970056

Beaufort County Memorial Hospital Urology · Beaufort, SC
Active · expires Feb 1, 2028
CLIA Number42D0970056
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorDr. Louis Plzak
Laboratory Phone(843) 524-7607
Laboratory LocationBeaufort County Memorial Hospital Urology1055 Ribaut Road, Suite 10, 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D2023659

Beaufort Memorial Lowcountry Medical Group · Beaufort, SC
Active · expires Apr 27, 2027
CLIA Number42D2023659
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorNicholas P. Dardes
Laboratory Phone(843) 770-0572
Laboratory LocationBeaufort Memorial Lowcountry Medical Group300 Midtown Drive, 2nd Floor Pods, Beaufort, SC 29906
CLIA data matches this NPI record on: Name
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.

Other Providers at the Same Location NPPES 11

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

DR. NICHOLAS P DARDES DO
Internal Medicine
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906
Beaufort County (843) 770-0404
DR. FLETCHER CARL DERRICK III M.D.
Internal Medicine
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DR
BEAUFORT, SC 29906
Beaufort County (843) 770-0404
ERIN ROYAL SCOTT NP
Nurse Practitioner (Adult Health)
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906
Beaufort County (843) 770-0404
KRISTEN C JOHNSON
Physician Assistant
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906
Beaufort County (843) 770-0404
DR. EMI MICHELLE RENDON POPE M.D.
Internal Medicine
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906
Beaufort County (843) 770-0404
DR. EVE ANNE ASHBY D.O.
Obstetrics & Gynecology (Gynecology)
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906
Beaufort County (843) 770-0404
DR. JOHN CRISOLOGO M.D.
Internal Medicine (Gastroenterology)
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVE
BEAUFORT, SC 29906
Beaufort County (843) 770-0404
MRS. MARGARET TANNER MILER PA-C
Physician Assistant (Medical)
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DR
BEAUFORT, SC 29906
Beaufort County (843) 770-0404

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 1336180165. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is also known as Beaufort Memorial Lowcountry Medical Group.

Where is Beaufort County Memorial Hospital located?

Beaufort County Memorial Hospital is located at Beaufort Memorial Lowcountry Medical Group 300 Midtown, Beaufort, SC 29906. The listed phone number is (843) 770-0404.

What is Beaufort County Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Beaufort County Memorial Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Beaufort County Memorial Hospital accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South 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 July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.