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ATLANTIC UROLOGY CLINICS LLC
NPI 1447293790
Urology in Little River, SC

Active since June 14, 2006
3600 SEA MOUNTAIN HWY STE B, LITTLE RIVER, SC 29566(843) 399-9696(843) 399-9596 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2023, Jan 27, 2023, Jan 17, 2023 and 2 more (5 updates tracked since 2019).

About Atlantic Urology Clinics Llc NPPES

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

ATLANTIC UROLOGY CLINICS LLC (NPI 1447293790) is a healthcare organization registered as an urology in Little River, South Carolina and active in the NPI registry since June 2006. The organization maintains a secondary practice location in Conway and lists Shaden Marzouk, Us President, as its authorized official.

NPPES Registry Identity

NPI1447293790
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameATLANTIC UROLOGY CLINICS LLC
Location Address3600 SEA MOUNTAIN HWY STE BLittle River, SC 29566-8161
Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213 · (239) 931-7342
Phone(843) 399-9696
Fax(843) 399-9596
Organization SubpartNo
Authorized OfficialShaden MarzoukUs President · (239) 931-7254
Enumeration DateJune 14, 2006
Last NPPES UpdateSeptember 25, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2023
✔ NPI 1447293790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3600 SEA MOUNTAIN HWY STE B, Little River, SC 29566
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Secondary Practice Location 1

Location 1135 Professional Park DrConway, SC 29526-9261 · Phone (843) 347-8765 · Fax (843) 347-8765

Other Identifiers 1

MedicaidGP4522SC

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 First Choice Next, Molina Healthcare.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)

Atlantic Urology Clinics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Atlantic Urology Clinics LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Urology17
Nurse Practitioner7
Pathology1

Nearest to this location (20)

See all 25
Timothy Gajewski, MD
Urology
NPI 1841239233
3600 SEA MOUNTAIN HWY SUITE B
Little River, SC 29566
(843) 399-9696
✔ PECOS✔ Accepts MedicareSame address
Melanie Hopkins, MD
Pathology
NPI 1750351706
3600 SEA MOUNTAIN HWY
Little River, SC 29566
(843) 399-8930
✔ PECOS✔ Accepts MedicareSame address
Antonela Ratiu, APRN
Nurse Practitioner
NPI 1184008591
3600 SEA MOUNTAIN HWY STE B
Little River, SC 29566
(843) 399-9696
✔ PECOS✔ Accepts MedicareSame address
Kenneth Krzyzaniak, MD
Urology
NPI 1265423479
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-1010
✔ PECOS12 mi
Brian Roberts, MD
Urology
NPI 1700877909
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-1010
✔ PECOS✔ Accepts Medicare12 mi
Neal Shore, DR
Urology
NPI 1265423453
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-1010
✔ PECOS✔ Accepts Medicare12 mi
Richard Young, DR
Urology
NPI 1518948587
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-1010
✔ PECOS✔ Accepts Medicare12 mi
Natalie Badolato
Nurse Practitioner
NPI 1063157170
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 347-2450
✔ PECOS✔ Accepts Medicare12 mi
Lauren Cooley, M.D, PH.D
Urology
NPI 1366973265
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-1010
✔ PECOS✔ Accepts Medicare12 mi
Kerri Evans, FNP-BC
Nurse Practitioner
NPI 1326556176
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-1010
✔ PECOS✔ Accepts Medicare12 mi
Robert Jansen
Urology
NPI 1316180847
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-1010
✔ PECOS✔ Accepts Medicare12 mi
Jeremy Pearce, FNP-C
Nurse Practitioner
NPI 1902572340
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-1010
✔ PECOS✔ Accepts Medicare12 mi
David Rich, M.D.
Urology
NPI 1790025435
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-1010
✔ PECOS✔ Accepts Medicare12 mi
Lindsey Rogers
Nurse Practitioner
NPI 1700433778
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 347-8600
✔ PECOS✔ Accepts Medicare12 mi
Abhishek Srivastava, M.D.
Urology
NPI 1083980064
823 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-1010
✔ PECOS✔ Accepts Medicare12 mi
James Fogarty, D.O.
Urology
NPI 1801841523
394 SINGLETON RIDGE RD
Conway, SC 29526
(843) 347-8765
✔ PECOS✔ Accepts Medicare20 mi
Joseph Wood, M.D
Urology
NPI 1881640746
394 SINGLETON RIDGE RD
Conway, SC 29526
(843) 347-8765
✔ PECOS✔ Accepts Medicare20 mi
Pamela Gilmore, APRN
Nurse Practitioner
NPI 1922564194
394 SINGLETON RIDGE RD
Conway, SC 29526
(843) 347-8765
✔ PECOS✔ Accepts Medicare20 mi
Rebecca Crawford, NP
Nurse Practitioner
NPI 1801212113
135 PROFESSIONAL PARK DR
Conway, SC 29526
(843) 347-8765
✔ PECOS✔ Accepts Medicare20 mi
Roberto Ferraro, MD
Urology
NPI 1396788733
135 PROFESSIONAL PARK DR
Conway, SC 29526
(843) 347-8724
✔ PECOS✔ Accepts Medicare20 mi
See all 25 clinicians

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 Atlantic Urology Clinics LLC's NPI number?

The NPI number for Atlantic Urology Clinics LLC is 1447293790. It was assigned to this organization in the NPPES registry on June 14, 2006.

Where is Atlantic Urology Clinics LLC located?

Atlantic Urology Clinics LLC is located at 3600 Sea Mountain Hwy Ste B, Little River, SC 29566. The listed phone number is (843) 399-9696.

What is Atlantic Urology Clinics LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Atlantic Urology Clinics LLC enrolled in Medicare?

Yes. Atlantic Urology Clinics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlantic Urology Clinics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 3 Medicare specialties reassign their Medicare billing to Atlantic Urology Clinics 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. The largest specialties are Urology (17), Nurse Practitioner (7) and Pathology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Atlantic Urology Clinics LLC accept?

Health plans from First Choice Next and Molina Healthcare list Atlantic Urology Clinics 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 Atlantic Urology Clinics LLC was last updated on September 25, 2023. 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.