ST PAULS MEDICAL GROUP
NPI 1740402130
Clinic/Center in Hollywood, SC

Active since May 03, 2007
7610 HIGHWAY 164, HOLLYWOOD, SC 29449(843) 889-8018(843) 889-9133 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Pauls Medical Group NPPES

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

ST PAULS MEDICAL GROUP (NPI 1740402130) is a healthcare organization registered as a clinic/center in Hollywood, South Carolina and active in the NPI registry since May 2007. The organization lists Marsha Gay Delavan, President, as its authorized official.

NPPES Registry Identity

NPI1740402130
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameST PAUL'S MEDICAL GROUP, INC
Location Address7610 HIGHWAY 164Hollywood, SC 29449
Mailing AddressPo Box 1355Hollywood, SC 29449-1355 · (843) 889-8018 · Fax (843) 889-9133
Fax(843) 889-9133
Organization SubpartNo
Authorized OfficialMarsha Gay DelavanPresident · (843) 889-8018
Enumeration DateMay 3, 2007
Last NPPES UpdateDecember 28, 2009
NPI 1740402130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7610 HIGHWAY 164, Hollywood, SC 29449

Other Names 1

Doing Business AsSt Pauls Medical Group

Other Identifiers 3

Other42D0968299SC · Clia Number
MedicaidGP2603SC
Medicare ID-Type Unspecified6160SC · Group Number

Accepted Insurance

Other Providers at the Same Location NPPES

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

Technician/Technologist
7610 HIGHWAY 164
HOLLYWOOD, SC 29449

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 St Paul's Medical Group, Inc's NPI number?

The NPI number for St Paul's Medical Group, Inc is 1740402130. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as St Pauls Medical Group.

Where is St Paul's Medical Group, Inc located?

St Paul's Medical Group, Inc is located at 7610 Highway 164, Hollywood, SC 29449. The listed phone number is (843) 889-8018.

What is St Paul's Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does St Paul's Medical Group, Inc accept?

Health plans from Molina Healthcare list St Paul's Medical Group, 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 St Paul's Medical Group, Inc was last updated on December 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.