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GRAND STRAND UROLOGY
NPI 1922099126
Specialist in Myrtle Beach, SC

Active since November 04, 2005
823 82ND PKWY, MYRTLE BEACH, SC 29572(843) 449-1010(843) 497-6171 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grand Strand Urology NPPES

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

GRAND STRAND UROLOGY (NPI 1922099126) is a healthcare organization registered as a specialist in Myrtle Beach, South Carolina and active in the NPI registry since November 2005. The organization lists Chris B Richardson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1922099126
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGRAND STRAND UROLOGY
Location Address823 82ND PKWYMyrtle Beach, SC 29572-4607
Mailing Address823 82nd PkwyMyrtle Beach, SC 29572-4607 · (843) 449-1010 · Fax (843) 497-6171
Phone(843) 449-1010
Fax(843) 497-6171
Organization SubpartNo
Authorized OfficialChris B RichardsonExecutive Director · (843) 449-1010
Enumeration DateNovember 4, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922099126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
823 82ND PKWY, Myrtle Beach, SC 29572
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Other Identifiers 1

MedicaidGP1418SC

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

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.

NATALIE CORRINE BADOLATO
Nurse Practitioner (Family)
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 347-2450
DR. ABHISHEK SRIVASTAVA M.D.
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
KAYLA SHANIECE GERALD PA-C
Physician Assistant
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
BRIAN J ROBERTS MD
Non-Pharmacy Dispensing Site
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
JULIE ANN ELLISON SCHMITZ NP-C
Nurse Practitioner (Family)
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
DR. NEAL SHORE DR
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
DR. KENNETH E KRZYZANIAK MD
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
JACQUELYN GREINER BOOHER D.O.
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010

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 Grand Strand Urology's NPI number?

The NPI number for Grand Strand Urology is 1922099126. It was assigned to this organization in the NPPES registry on November 4, 2005.

Where is Grand Strand Urology located?

Grand Strand Urology is located at 823 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 449-1010.

What is Grand Strand Urology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Grand Strand Urology 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 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.