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SOUTHEAST MEDICAL ASSOCIATES LLC
NPI 1871798348
Internal Medicine in Myrtle Beach, SC

Active since June 15, 2007CLIA Certified · 2 labs
1301 48TH AVE N STE B, MYRTLE BEACH, SC 29577(843) 215-5102(843) 215-5226 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southeast Medical Associates Llc NPPES

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

SOUTHEAST MEDICAL ASSOCIATES LLC (NPI 1871798348) is a healthcare organization registered as an internal medicine in Myrtle Beach, South Carolina and active in the NPI registry since June 2007. The organization holds 2 active CLIA laboratory certificates and lists Cindy L Haney, Ins Clerk, as its authorized official.

NPPES Registry Identity

NPI1871798348
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHEAST MEDICAL ASSOCIATES LLC
Location Address1301 48TH AVE N STE BMyrtle Beach, SC 29577-5427
Mailing Address1301 48th Ave N Ste BMyrtle Beach, SC 29577-5427 · (843) 215-5102 · Fax (843) 215-5226
Phone(843) 215-5102
Fax(843) 215-5226
Organization SubpartNo
Authorized OfficialCindy L HaneyIns Clerk · (843) 215-5102
Enumeration DateJune 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871798348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1301 48TH AVE N STE B, Myrtle Beach, SC 29577
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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)

Southeast Medical Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southeast Medical Associates LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jose Armonio, MD
Internal Medicine
NPI 1528004413
1301 48TH AVENUE NORTH SUITE B SOUTHEAST MEDICAL ASSOCIATES LLC
Myrtle Beach, SC 29577
(843) 497-1441
✔ PECOS✔ Accepts MedicareSame address
Mohammad Emran, MD
Internal Medicine
NPI 1811932999
1301 48TH AVE N STE B
Myrtle Beach, SC 29577
(843) 497-1441
✔ PECOS✔ Accepts MedicareSame address
Rubina Wadud, MD
Internal Medicine
NPI 1922034123
1301 48TH AVE N STE B
Myrtle Beach, SC 29577
(843) 497-1441
✔ PECOS✔ Accepts MedicareSame address

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 2

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 42D0992061

Southeast Medical Associates LLC · Myrtle Beach, SC
Active · expires Oct 4, 2027
CLIA Number42D0992061
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorAnwarul Emran
Laboratory Phone(843) 497-1441
Laboratory LocationSoutheast Medical Associates LLC1301 48th Avenue North Suite B, Myrtle Beach, SC 29577
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D0992060

Southeast Medical Associates · Murrells Inlet, SC
Active · expires Oct 4, 2027
CLIA Number42D0992060
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorAnwarul G. Emran
Laboratory Phone(843) 215-5102
Laboratory LocationSoutheast Medical Associates11947 Grandhaven Drive Suite J, Murrells Inlet, SC 29576
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 Southeast Medical Associates LLC's NPI number?

The NPI number for Southeast Medical Associates LLC is 1871798348. It was assigned to this organization in the NPPES registry on June 15, 2007.

Where is Southeast Medical Associates LLC located?

Southeast Medical Associates LLC is located at 1301 48th Ave N Ste B, Myrtle Beach, SC 29577. The listed phone number is (843) 215-5102.

What is Southeast Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Southeast Medical Associates LLC enrolled in Medicare?

Yes. Southeast Medical Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Medical Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Southeast Medical Associates LLC. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southeast Medical Associates LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Southeast Medical Associates LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Southeast Medical Associates 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 Southeast Medical Associates LLC was last updated on August 22, 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.