CENTERWELL SENIOR PRIMARY CARE SC JV PC
NPI 1538974159
Internal Medicine in North Myrtle Beach, SC

Q: What is Centerwell Senior Primary Care Sc Jv PC's specialty?

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

Active since February 11, 2025CLIA 42D2327166 · Waiver

240 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582(407) 447-7120 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Centerwell Senior Primary Care Sc Jv Pc NPPES

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

CENTERWELL SENIOR PRIMARY CARE SC JV PC (NPI 1538974159), doing business as Centerwell Senior Primary Care -north Myrtle Beach, is a healthcare organization registered as an internal medicine in North Myrtle Beach, South Carolina and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1538974159

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE SC JV PC

Location Address240 HIGHWAY 17 NNorth Myrtle Beach, SC 29582-2938

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120

Phone(407) 447-7120

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateFebruary 11, 2025

NPPES CertifiedFebruary 11, 2025

✔ NPI 1538974159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedFamily MedicineTaxonomy 207Q00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

240 HIGHWAY 17 N, North Myrtle Beach, SC 29582

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Other Names 1

Doing Business AsCenterwell Senior Primary Care -north Myrtle Beach

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

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 42D2327166

Centerwell Senior Primary Care-North Myrtle Beach · North Myrtle Beach, SC

Active · expires Jul 16, 2027

CLIA Number42D2327166

Laboratory TypePhysician Office

Certificate Effective DateJuly 17, 2025

Certificate Expiration DateJuly 16, 2027

Laboratory DirectorErica L. Savage-Jeter

Laboratory Phone(843) 310-4969

Laboratory LocationCenterwell Senior Primary Care-North Myrtle Beach240 Highway 17 N, North Myrtle Beach, SC 29582

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MICHAEL S NIRENSTEIN MD

Family Medicine

240 HIGHWAY 17 N
NORTH MYRTLE BEACH, SC 29582

Horry County (843) 310-4969

KAY ELIZABETH GIANANTONIO CNP

Nurse Practitioner (Adult Health)

240 HIGHWAY 17 N
NORTH MYRTLE BEACH, SC 29582

Horry County (843) 310-4969

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 Centerwell Senior Primary Care Sc Jv PC's NPI number?

The NPI number for Centerwell Senior Primary Care Sc Jv PC is 1538974159. It was assigned to this organization in the NPPES registry on February 11, 2025. The provider is doing business as CenterWell Senior Primary Care -North Myrtle Beach.

Where is Centerwell Senior Primary Care Sc Jv PC located?

Centerwell Senior Primary Care Sc Jv PC is located at 240 Highway 17 N, North Myrtle Beach, SC 29582. The listed phone number is (407) 447-7120.

What is Centerwell Senior Primary Care Sc Jv PC's specialty?

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

Does Centerwell Senior Primary Care Sc Jv PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2327166) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Sc Jv PC was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.