CMC PRIMARY CARE SURFSIDE BEACH
NPI 1679075352
Family Medicine in Surfside Beach, SC

Active since March 08, 2018CLIA 42D0252167 · Waiver
1413 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575(843) 238-5654(843) 238-1624 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2021, Jun 1, 2020, Mar 8, 2018 (3 updates tracked since 2018).

About Cmc Primary Care Surfside Beach NPPES

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

CMC PRIMARY CARE SURFSIDE BEACH (NPI 1679075352) is a healthcare organization registered as a family medicine in Surfside Beach, South Carolina and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Bret Barr, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679075352
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCONWAY HOSPITAL, INC.
Location Address1413 HIGHWAY 17 NSurfside Beach, SC 29575-6012
Mailing Address300 Singleton Ridge Rd, Attention Patient AccountingConway, SC 29526-9142 · (843) 234-6946
Fax(843) 238-1624
Organization SubpartNo
Authorized OfficialBret BarrCeo · (843) 347-8114
Enumeration DateMarch 8, 2018
Last NPPES UpdateOctober 25, 20213 updates tracked since enumeration
NPPES CertifiedOctober 25, 2021
NPI 1679075352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
1413 HIGHWAY 17 N, Surfside Beach, SC 29575

Other Names 1

Doing Business AsCmc Primary Care Surfside Beach

Other Identifiers 1

MedicaidGP8566SC

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

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 42D0252167

Cmc Primary Care At Surfside Beach · Surfside Beach, SC
Active · expires Jun 23, 2028
CLIA Number42D0252167
Laboratory TypePublic Health Laboratories
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorJames M. Vest
Laboratory Phone(843) 238-5654
Laboratory LocationCmc Primary Care At Surfside Beach1413 Highway 17 North Business, Surfside Beach, SC 29575
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Physician Assistant (Medical)
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Physical Therapist
1413 HIGHWAY 17 N, SUITE A
SURFSIDE BEACH, SC 29575
Nurse Practitioner (Family)
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Family Medicine
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Family Medicine (Sports Medicine)
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Family Medicine
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Nurse Practitioner (Family)
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Family Medicine
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575

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 1679075352. It was assigned to this organization in the NPPES registry on March 8, 2018. The provider is doing business as Cmc Primary Care Surfside Beach.

Where is Conway Hospital, Inc. located?

Conway Hospital, Inc. is located at 1413 Highway 17 N, Surfside Beach, SC 29575. The listed phone number is (843) 238-5654.

What is Conway Hospital, Inc.'s specialty?

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

Does Conway Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0252167) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Conway Hospital, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare 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 October 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.