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NORTH MYRTLE BEACH FAMILY PRACTICE
NPI 1619014487
Family Medicine in North Myrtle Beach, SC

Active since January 31, 2007CLIA 42D0252154 · Waiver
86 CEDAR AVE, NORTH MYRTLE BEACH, SC 29582(843) 249-2451(843) 249-4100 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About North Myrtle Beach Family Practice NPPES

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

NORTH MYRTLE BEACH FAMILY PRACTICE (NPI 1619014487) is a healthcare organization registered as a family medicine in North Myrtle Beach, South Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists John Garnett Ramslattorn, President, as its authorized official.

NPPES Registry Identity

NPI1619014487
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH MYRTLE BEACH FAMILY PRACTICE
Location Address86 CEDAR AVENorth Myrtle Beach, SC 29582-3112
Mailing Address86 Cedar AveNorth Myrtle Beach, SC 29582-3112 · (843) 249-2451 · Fax (843) 249-4100
Phone(843) 249-2451
Fax(843) 249-4100
Organization SubpartNo
Authorized OfficialJohn Garnett RamslattornPresident · (843) 249-2451
Enumeration DateJanuary 31, 2007
Last NPPES UpdateMarch 5, 2008
✔ NPI 1619014487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 9264
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.
86 CEDAR AVE, North Myrtle Beach, SC 29582
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Other Identifiers 4

Medicaid092642SC
Medicare PINDA8863
Medicare PIN6337SC
Other29670SC · Medcast

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Myrtle Beach Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Myrtle Beach Family Practice, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Ramsbottom, MD
Family Practice
NPI 1437277753
86 CEDAR AVE
North Myrtle Beach, SC 29582
(843) 249-2451
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 42D0252154

North Myrtle Beach Family Practice · North Myrtle Beach, SC
Active · expires Feb 2, 2028
CLIA Number42D0252154
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorJohn G. Ramsbottom Jr M D
Laboratory Phone(843) 249-2451
Laboratory LocationNorth Myrtle Beach Family Practice86 Cedar Avenue, North Myrtle Beach, SC 29582
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 North Myrtle Beach Family Practice's NPI number?

The NPI number for North Myrtle Beach Family Practice is 1619014487. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is North Myrtle Beach Family Practice located?

North Myrtle Beach Family Practice is located at 86 Cedar Ave, North Myrtle Beach, SC 29582. The listed phone number is (843) 249-2451.

What is North Myrtle Beach Family Practice's specialty?

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

Is North Myrtle Beach Family Practice enrolled in Medicare?

Yes. North Myrtle Beach Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Myrtle Beach Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to North Myrtle Beach Family Practice. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Myrtle Beach Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0252154) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Myrtle Beach Family Practice was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.