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KINGDOM HEALTHCARE CENTER INC
NPI 1760158547
Obstetrics & Gynecology in Myrtle Beach, SC

Active since August 20, 2021CLIA 42D2316341 · Waiver
341 OCEAN COMMONS DR, MYRTLE BEACH, SC 29575(703) 505-0194 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kingdom Healthcare Center Inc NPPES

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

KINGDOM HEALTHCARE CENTER INC (NPI 1760158547) is a healthcare organization registered as an obstetrics & gynecology in Myrtle Beach, South Carolina and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Gwendolyn Patterson Cobbs, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760158547
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameKINGDOM HEALTHCARE CENTER INC
Location Address341 OCEAN COMMONS DRMyrtle Beach, SC 29575-5533
Mailing Address341 Ocean Commons DrMyrtle Beach, SC 29575-5533 · (703) 505-0194
Phone(703) 505-0194
Organization SubpartNo
Authorized OfficialGwendolyn Patterson CobbsCeo · (703) 505-0194
Enumeration DateAugust 20, 2021
NPPES CertifiedAugust 20, 2021
✔ NPI 1760158547 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.
341 OCEAN COMMONS DR, Myrtle Beach, SC 29575
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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 MULTIPLE SINGLE 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 42D2316341

Kingdom Healthcare Center · Myrtle Beach, SC
Active · expires Jan 2, 2027
CLIA Number42D2316341
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorGwendolyn P. Cobbs
Laboratory Phone(703) 505-0194
Laboratory LocationKingdom Healthcare Center5046 Hwy 17 Bypass S Ste 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 Kingdom Healthcare Center Inc's NPI number?

The NPI number for Kingdom Healthcare Center Inc is 1760158547. It was assigned to this organization in the NPPES registry on August 20, 2021.

Where is Kingdom Healthcare Center Inc located?

Kingdom Healthcare Center Inc is located at 341 Ocean Commons Dr, Myrtle Beach, SC 29575. The listed phone number is (703) 505-0194.

What is Kingdom Healthcare Center Inc's specialty?

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

Does Kingdom Healthcare Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2316341) is associated with this NPI, valid through January 2, 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 Kingdom Healthcare Center Inc was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.