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CENTERWELL SENIOR PRIMARY CARE (SC) JV PC
NPI 1689481194
Internal Medicine in Myrtle Beach, SC

Active since December 17, 2024CLIA 42D2327161 · Waiver
310 HINSON DR STE 3, MYRTLE BEACH, SC 29579(843) 966-0613(843) 628-0979 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2026, Dec 17, 2024 (2 updates tracked since 2024).

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 1689481194), doing business as Centerwell Senior Primary Care-international Drive, is a healthcare organization registered as an internal medicine in Myrtle Beach, South Carolina and active in the NPI registry since December 2024. 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

NPI1689481194
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (SC) JV PC
Location Address310 HINSON DR STE 3Myrtle Beach, SC 29579-4435
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120
Phone(843) 966-0613
Fax(843) 628-0979
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateDecember 17, 2024
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1689481194 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
310 HINSON DR STE 3, Myrtle Beach, SC 29579
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Other Names 1

Doing Business AsCenterwell Senior Primary Care-international Drive

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 42D2327161

Centerwell Senior Primary Care-International Drive · Myrtle Beach, SC
Active · expires Jul 16, 2027
CLIA Number42D2327161
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorErica L. Savage-Jeter
Laboratory Phone(843) 966-0613
Laboratory LocationCenterwell Senior Primary Care-International Drive310 Hinson Drive Suite 3, Myrtle Beach, SC 29579
CLIA data matches this NPI record on: Address Name Phone
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.

HANNAH KEELY ADLER MD
Internal Medicine
310 HINSON DR STE 3
MYRTLE BEACH, SC 29579
Horry County (843) 966-0613
KAYLA NICOLE SMITH PA-C
Physician Assistant
310 HINSON DR STE 3
MYRTLE BEACH, SC 29579
Horry County (843) 966-0613

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 1689481194. It was assigned to this organization in the NPPES registry on December 17, 2024. The provider is doing business as CenterWell Senior Primary Care-International Drive.

Where is Centerwell Senior Primary Care (sc) Jv PC located?

Centerwell Senior Primary Care (sc) Jv PC is located at 310 Hinson Dr Ste 3, Myrtle Beach, SC 29579. The listed phone number is (843) 966-0613.

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 42D2327161) 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 January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.