BEAUFORT MEMORIAL SURGICAL SPECIALISTS WCC
NPI 1720212129
Specialist in Beaufort, SC

Active since May 13, 2009
989 RIBAUT RD, SUITE 220, BEAUFORT, SC 29902(843) 522-5742 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2020, Nov 6, 2019 (2 updates tracked since 2019).

About Beaufort Memorial Surgical Specialists Wcc NPPES

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

BEAUFORT MEMORIAL SURGICAL SPECIALISTS WCC (NPI 1720212129) is a healthcare organization registered as a specialist in Beaufort, South Carolina and active in the NPI registry since May 2009. The organization lists Edmond Russell Baxley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720212129
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBEAUFORT COUNTY MEMORIAL HOSPTIAL
Location Address989 RIBAUT RD, SUITE 220Beaufort, SC 29902-5472
Mailing Address1055 Ribaut Rd, Suite 30Beaufort, SC 29902-5423 · (843) 522-5742
Organization SubpartNo
Authorized OfficialEdmond Russell BaxleyCeo · (843) 522-5140
Enumeration DateMay 13, 2009
Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1720212129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
989 RIBAUT RD, Beaufort, SC 29902

Other Names 1

Other NameBeaufort Memorial Surgical Specialists Wcc

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)

Beaufort Memorial Surgical Specialists Wcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

113

Medicare enrollment records show 113 clinicians reassign Medicare billing to Beaufort Memorial Surgical Specialists Wcc, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner28
Family Practice19
Internal Medicine15
General Surgery13
Pediatric Medicine13
Orthopedic Surgery5
Psychiatry5
Emergency Medicine4
8 other specialties11

Nearest to this location (20)

See all 113
Internal Medicine
NPI 1982699591
989 RIBAUT RD SUITE 260
Beaufort, SC 29902
(843) 522-7600
✔ PECOSSame address
Psychiatry
NPI 1184683880
989 RIBAUT RD SUITE 240
Beaufort, SC 29902
(843) 522-5600
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1679568216
989 RIBAUT RD STE 260
Beaufort, SC 29902
(843) 522-7600
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1063409662
989 RIBAUT RD STE 260
Beaufort, SC 29902
(843) 522-7600
✔ PECOSSame address
Nurse Practitioner
NPI 1902152911
989 RIBAUT RD SUITE 260
Beaufort, SC 29902
(843) 522-7605
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1699723262
989 RIBAUT RD SUITE 260
Beaufort, SC 29902
(843) 522-7600
✔ PECOSSame address
Nurse Practitioner
NPI 1831833599
989 RIBAUT RD
Beaufort, SC 29902
(843) 522-5600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558630533
974 RIBAUT RD
Beaufort, SC 29902
(843) 524-3344
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1508387861
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5775
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1447823422
955 RIBAUT RD
Beaufort, SC 29902
(843) 522-5200
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1912962630
964 RIBAUT RD STE 1
Beaufort, SC 29902
(843) 524-5437
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1497740732
954 RIBAUT RD
Beaufort, SC 29902
(843) 522-7290
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1780656595
1055 RIBAUT RD STE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1174595961
1055 RIBAUT RD STE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS0.2 mi
General Surgery
NPI 1952373763
1055 RIBAUT ROAD SUITE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS✔ Accepts Medicare0.2 mi
Vascular Surgery
NPI 1538132931
1055 RIBAUT RD STE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1255991410
1055 RIBAUT RD STE 30
Beaufort, SC 29902
(843) 524-8171
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1568915783
1251 RIBAUT RD STE B
Beaufort, SC 29902
(843) 524-3015
✔ PECOS✔ Accepts Medicare0.8 mi
Orthopedic Surgery
NPI 1841237138
1251 RIBAUT RD
Beaufort, SC 29902
(843) 524-3015
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1992257703
11 TODD DRIVE DBA LTC HEALTH SOLUTIONS
Beaufort, SC 29902
(800) 491-0909
✔ PECOS✔ Accepts Medicare0.9 mi
See all 113 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 Beaufort County Memorial Hosptial's NPI number?

The NPI number for Beaufort County Memorial Hosptial is 1720212129. It was assigned to this organization in the NPPES registry on May 13, 2009. The provider is also known as Beaufort Memorial Surgical Specialists Wcc.

Where is Beaufort County Memorial Hosptial located?

Beaufort County Memorial Hosptial is located at 989 Ribaut Rd Suite 220, Beaufort, SC 29902. The listed phone number is (843) 522-5742.

What is Beaufort County Memorial Hosptial's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Beaufort County Memorial Hosptial enrolled in Medicare?

Yes. Beaufort County Memorial Hosptial is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beaufort County Memorial Hosptial?

According to the CMS Revalidation Reassignment List (October 2026 release), 113 clinicians in 16 Medicare specialties reassign their Medicare billing to Beaufort County Memorial Hosptial. 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 (28), Family Practice (19) and Internal Medicine (15). Of these, 7 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beaufort County Memorial Hosptial was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.