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BEAUFORT PEDIATRICS, P.A.
NPI 1720140825
Clinic/Center - Rural Health in Beaufort, SC

Active since December 14, 2006
964 RIBAUT RD, BEAUFORT, SC 29902(843) 524-5437(843) 524-0425 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Beaufort Pediatrics, P.a. NPPES

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

BEAUFORT PEDIATRICS, P.A. (NPI 1720140825) is a healthcare organization registered as a rural health in Beaufort, South Carolina and active in the NPI registry since December 2006. The organization lists William D Martin, President, as its authorized official.

NPPES Registry Identity

NPI1720140825
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBEAUFORT PEDIATRICS, P.A.
Location Address964 RIBAUT RDBeaufort, SC 29902-5429
Mailing Address964 Ribaut RdBeaufort, SC 29902-5429 · (843) 524-5437 · Fax (843) 524-0425
Phone(843) 524-5437
Fax(843) 524-0425
Organization SubpartNo
Authorized OfficialWilliam D MartinPresident · (843) 524-5437
Enumeration DateDecember 14, 2006
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1720140825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in SC · 12254
964 RIBAUT RD, Beaufort, SC 29902
Open in Google Maps ↗

Other Identifiers 1

MedicaidRHC156SC

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.

ISELYN YEVETTE HAMILTON ARNP
Nurse Practitioner (Pediatrics)
964 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
DR. FRANCIS EDWARDS RUSHTON JR. M.D.
Pediatrics
964 RIBAUT RD, SUITE 1
BEAUFORT, SC 29902
Beaufort County (842) 524-5437
DR. JOSEPH H FLOYD M.D.
Pediatrics
964 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
BEAUFORT PEDIATRICS
Social Worker (Clinical)
964 RIBAUT RD, SUITE ONE
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
MRS. A KRISTIN DALTON CPNP
Nurse Practitioner (Pediatrics)
964 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
BEAUFORT PEDIATRICS, P.A.
Pediatrics (Adolescent Medicine)
964 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
DR. KIMBERLY MOORE MARTIN M.D.
Pediatrics
964 RIBAUT RD, SUITE 1
BEAUFORT, SC 29902
Beaufort County (843) 524-5437
DR. SHAYLA BERGMANN MD
Pediatrics (Pediatric Hematology-Oncology)
964 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-5437

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 Beaufort Pediatrics, P.A.'s NPI number?

The NPI number for Beaufort Pediatrics, P.A. is 1720140825. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is Beaufort Pediatrics, P.A. located?

Beaufort Pediatrics, P.A. is located at 964 Ribaut Rd, Beaufort, SC 29902. The listed phone number is (843) 524-5437.

What is Beaufort Pediatrics, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Beaufort Pediatrics, P.A. was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.