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CPG INTERNAL MEDICINE MYRTLE TRACE
NPI 1548573322
Family Medicine in Conway, SC

Active since July 21, 2010
8004 MYRTLE TRACE DR, CONWAY, SC 29526(843) 234-8939(843) 234-8959 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2022, Sep 14, 2022, Mar 24, 2020 and 1 more (4 updates tracked since 2016).

About Cpg Internal Medicine Myrtle Trace NPPES

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

CPG INTERNAL MEDICINE MYRTLE TRACE (NPI 1548573322) is a healthcare organization registered as a family medicine in Conway, South Carolina and active in the NPI registry since July 2010. The organization lists Mary Ellen Artioli, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1548573322
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCONWAY HOSPITAL, INC.
Location Address8004 MYRTLE TRACE DRConway, SC 29526-8945
Mailing Address300 Singleton Ridge Rd, Attention Patient AccountingConway, SC 29526-9142 · (843) 234-6946
Phone(843) 234-8939
Fax(843) 234-8959
Organization SubpartNo
Authorized OfficialMary Ellen ArtioliCredentialing Specialist · (843) 234-6946
Enumeration DateJuly 21, 2010
Last NPPES UpdateSeptember 27, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1548573322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
8004 MYRTLE TRACE DR, Conway, SC 29526
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Other Names 2

Doing Business AsCpg Internal Medicine Myrtle Trace
Doing Business AsCmc Primary Care Myrtle Trace

Other Identifiers 1

MedicaidGP4505SC

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 Health, Ambetter of North 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)

Cpg Internal Medicine Myrtle Trace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

142

Medicare enrollment records show 142 clinicians reassign Medicare billing to Cpg Internal Medicine Myrtle Trace, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 122 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner32
Family Practice20
Pediatric Medicine10
Obstetrics/Gynecology9
Gastroenterology7
Internal Medicine7
Orthopedic Surgery7
General Surgery5
18 other specialties45

Nearest to this location (20)

See all 142
David Beck, MD
Orthopedic Surgery
NPI 1124461033
8004 MYRTLE TRACE DR SUITE 200
Conway, SC 29526
(843) 347-8041
✔ PECOS✔ Accepts MedicareSame address
Summer Jenkins, FNP-C
Nurse Practitioner
NPI 1477200517
8004 MYRTLE TRACE DR STE 200
Conway, SC 29526
(843) 347-8041
✔ PECOS✔ Accepts MedicareSame address
Donovan Johnson, MD
Orthopedic Surgery
NPI 1952781734
8004 MYRTLE TRACE DRIVE SUITE 200
Conway, SC 29526
(843) 347-8041
✔ PECOS✔ Accepts MedicareSame address
Ashley Maybin, M.D.
Physical Medicine and Rehabilitation
NPI 1942696174
8004 MYRTLE TRACE DR STE 200
Conway, SC 29526
(843) 347-8041
✔ PECOS✔ Accepts MedicareSame address
Iridi Pavliqoti, MD
Sports Medicine
NPI 1275096638
8004 MYRTLE TRACE DR STE 200
Conway, SC 29526
(843) 347-8041
✔ PECOS✔ Accepts MedicareSame address
Daniel Reid, MD
Orthopedic Surgery
NPI 1205249216
8004 MYRTLE TRACE DR STE 200
Conway, SC 29526
(843) 347-8041
✔ PECOS✔ Accepts MedicareSame address
Jason Sharp, DO
Sports Medicine
NPI 1043676414
8004 MYRTLE TRACE DR STE 200
Conway, SC 29526
(843) 347-8041
✔ PECOS✔ Accepts MedicareSame address
John Stelmach, MD
Orthopedic Surgery
NPI 1023579984
8004 MYRTLE TRACE DR STE 200
Conway, SC 29526
(843) 347-8041
✔ PECOS✔ Accepts MedicareSame address
Phillip Sussman, DO
Orthopedic Surgery
NPI 1619325644
8004 MYRTLE TRACE DR STE 200
Conway, SC 29526
(843) 347-8041
✔ PECOS✔ Accepts MedicareSame address
Erica Umpierrez, M.D.
Orthopedic Surgery
NPI 1083000533
8004 MYRTLE TRACE DR SUITE 200
Conway, SC 29526
(843) 347-8041
✔ PECOS✔ Accepts MedicareSame address
Bradley Lineback, M.D.
Obstetrics/Gynecology
NPI 1841390192
8016 MYRTLE TRACE DR
Conway, SC 29526
(843) 347-7266
✔ PECOS✔ Accepts MedicareSame address
Sudeepthi Bandikatla, MD
Hematology/Oncology
NPI 1447713995
394 SINGLETON RIDGE RD
Conway, SC 29526
(843) 347-8050
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Connelly, ARNP
Nurse Practitioner
NPI 1356436968
394 SINGLETON RIDGE ROAD
Conway, SC 29526
(843) 347-8050
✔ PECOS✔ Accepts MedicareSame address
Christina Costello, FNP-BC
Nurse Practitioner
NPI 1780407742
394 SINGLETON RIDGE RD
Conway, SC 29526
(843) 347-8050
✔ PECOS✔ Accepts MedicareSame address
Colleen Farley, FNP-BC
Nurse Practitioner
NPI 1295780468
394 SINGLETON RIDGE RD
Conway, SC 29526
(843) 347-8050
✔ PECOS✔ Accepts MedicareSame address
Coty Ho, MD
Hematology/Oncology
NPI 1497808950
394 SINGLETON RIDGE RD
Conway, SC 29526
(843) 347-8050
✔ PECOS✔ Accepts MedicareSame address
Harish Saiganesh, MD
Hematology/Oncology
NPI 1790214070
394 SINGLETON RIDGE RD
Conway, SC 29526
(843) 347-8050
✔ PECOS✔ Accepts MedicareSame address
Amanda Vuppala, M.D.
Hospice/Palliative Care
NPI 1730379595
394 SINGLETON RIDGE RD
Conway, SC 29526
(843) 347-8050
✔ PECOS✔ Accepts MedicareSame address
Sviatoslav Redko, MD
Neurology
NPI 1871016022
8024 MYRTLE TRACE DR
Conway, SC 29526
(843) 234-8950
✔ PECOS✔ Accepts Medicare0.1 mi
Meghan Malone, M.D
Gastroenterology
NPI 1043395650
2376 CYPRESS CIRCLE SUITE 203
Conway, SC 29526
(843) 347-6038
✔ PECOS✔ Accepts Medicare0.1 mi
See all 142 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 Conway Hospital, Inc.'s NPI number?

The NPI number for Conway Hospital, Inc. is 1548573322. It was assigned to this organization in the NPPES registry on July 21, 2010. The provider is doing business as Cpg Internal Medicine Myrtle Trace and CMC Primary Care Myrtle Trace.

Where is Conway Hospital, Inc. located?

Conway Hospital, Inc. is located at 8004 Myrtle Trace Dr, Conway, SC 29526. The listed phone number is (843) 234-8939.

What is Conway Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Conway Hospital, Inc. enrolled in Medicare?

Yes. Conway Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conway Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 142 clinicians in 26 Medicare specialties reassign their Medicare billing to Conway Hospital, Inc.. 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 Nurse Practitioner (32), Family Practice (20) and Pediatric Medicine (10). Of these, 18 practice at this address and 122 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Conway Hospital, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer 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 September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.