DOMINION GYNECOLOGY LLC
NPI 1750165841
Obstetrics & Gynecology in Myrtle Beach, SC

Active since August 21, 2023CLIA 42D2345524 · Waiver
5046 HIGHWAY 17 BYP S STE 202, MYRTLE BEACH, SC 29588(843) 293-0466 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dominion Gynecology Llc NPPES

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

DOMINION GYNECOLOGY LLC (NPI 1750165841) is a healthcare organization registered as an obstetrics & gynecology in Myrtle Beach, South Carolina and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Gwendolyn Cobbs, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1750165841
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameDOMINION GYNECOLOGY LLC
Location Address5046 HIGHWAY 17 BYP S STE 202Myrtle Beach, SC 29588-4503
Mailing Address5046 Highway 17 Byp S Ste 202Myrtle Beach, SC 29588-4503 · (843) 293-0466
Organization SubpartNo
Authorized OfficialGwendolyn CobbsOwner/md · (843) 293-0466
Enumeration DateAugust 21, 2023
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1750165841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5046 HIGHWAY 17 BYP S STE 202, Myrtle Beach, SC 29588

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominion Gynecology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dominion Gynecology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Obstetrics/Gynecology
NPI 1295794386
5046 HIGHWAY 17 BYP S STE 202
Myrtle Beach, SC 29588
(843) 293-0466
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1699217653
912 INLET SQUARE DR STE A
Murrells Inlet, SC 29576
(843) 651-4111
✔ PECOS✔ Accepts Medicare6.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 42D2345524

Dominion Gynecology · Myrtle Beach, SC
Active · expires Jun 10, 2028
CLIA Number42D2345524
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorGwendolyn P. Cobbs
Laboratory Phone(843) 293-0466
Laboratory LocationDominion Gynecology5046 Hwy 17 Bypass South Suite 202, Myrtle Beach, SC 29588
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dominion Gynecology LLC's NPI number?

The NPI number for Dominion Gynecology LLC is 1750165841. It was assigned to this organization in the NPPES registry on August 21, 2023.

Where is Dominion Gynecology LLC located?

Dominion Gynecology LLC is located at 5046 Highway 17 Byp S Ste 202, Myrtle Beach, SC 29588. The listed phone number is (843) 293-0466.

What is Dominion Gynecology LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Dominion Gynecology LLC enrolled in Medicare?

Yes. Dominion Gynecology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dominion Gynecology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dominion Gynecology LLC, in Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dominion Gynecology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2345524) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dominion Gynecology LLC accept?

Health plans from First Choice Next and Molina Healthcare list Dominion Gynecology LLC 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 Dominion Gynecology LLC was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.