JOHNNY ROBERTSON III DO
NPI 1841759628
Emergency Medicine in Myrtle Beach, SC

Q: What is Johnny Robertson's NPI number?

The NPI number for Johnny Robertson is 1841759628. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Johnny Robertson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Johnny Robertson was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment

809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-1752 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2021, Mar 19, 2019 (2 updates tracked since 2019).

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About Johnny Robertson Iii Do NPPES

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

JOHNNY ROBERTSON III DO (NPI 1841759628) is an individual emergency medicine provider in Myrtle Beach, South Carolina, licensed in South Carolina (MDO.82276) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Grand Strand Regional Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1841759628

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJOHNNY ROBERTSON IIICredential: DO

Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607

Mailing Address219 Fulbourn PlMyrtle Beach, SC 29579-3565 · (304) 638-6887

Phone(843) 692-1752

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2019

Enumeration DateMarch 19, 2019

Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2021

✔ NPI 1841759628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in SC · MDO.82276

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

809 82ND PKWY, Myrtle Beach, SC 29572

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johnny Robertson Iii Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486983517

PECOS Enrollment IDI20220308000408

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Johnny Robertson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acs Primary Care Physicians - Southeast PC

Same address

Emergency Medicine

809 82ND PKWY
Myrtle Beach, SC 29572

Reassigned Medicare billing, South Carolina enrollment
559 clinicians in this Medicare group

NPI 1861430555 (843) 692-1000

Mcleod Health Cheraw

42 mi

Rural Health

3032 E HIGHWAY 76
Mullins, SC 29574

Reassigned Medicare billing, South Carolina enrollment
275 clinicians in this Medicare group

NPI 1710532486 (843) 464-7111

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

541 services529 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

181 services179 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

43 services43 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

SOUTHEASTERN HOSPITALIST SERVICES PC

Hospitalist