LUKE HARRISON BEAUCHAMP MD
NPI 1922809243
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC

Q: What is Luke Beauchamp's NPI number?

The NPI number for Luke Beauchamp is 1922809243. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Q: What is Luke Beauchamp's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Luke Beauchamp was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 22, 2025PECOS Enrolled

4320 HOLMESTOWN RD, MYRTLE BEACH, SC 29588(843) 652-8440 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Mar 22, 2025 (2 updates tracked since 2025).

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About Luke Harrison Beauchamp Md NPPES

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

LUKE HARRISON BEAUCHAMP MD (NPI 1922809243) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1922809243

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLUKE HARRISON BEAUCHAMPCredential: MD

Location Address4320 HOLMESTOWN RDMyrtle Beach, SC 29588-7837

Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 933-6423

Phone(843) 652-8440

Sole ProprietorNo

Enumeration DateMarch 22, 2025

Last NPPES UpdateMay 27, 20262 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1922809243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4320 HOLMESTOWN RD, Myrtle Beach, SC 29588

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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 955-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Harrison Beauchamp Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. ROBERT J HEINECK M.D.

Obstetrics & Gynecology