MYRTLE BEACH FAMILY MEDICINE, PA
NPI 1962478644
Family Medicine in Myrtle Beach, SC

Active since February 23, 2006CLIA 42D0251972 · Waiver
831 82ND PKWY, MYRTLE BEACH, SC 29572(843) 449-5243(843) 449-2333 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Myrtle Beach Family Medicine, Pa NPPES

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

MYRTLE BEACH FAMILY MEDICINE, PA (NPI 1962478644) is a healthcare organization registered as a family medicine in Myrtle Beach, South Carolina and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Terry A Belden, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1962478644
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMYRTLE BEACH FAMILY MEDICINE, PA
Location Address831 82ND PKWYMyrtle Beach, SC 29572-4607
Mailing Address831 82nd PkwyMyrtle Beach, SC 29572-4607 · (843) 449-5243 · Fax (843) 449-2333
Fax(843) 449-2333
Organization SubpartNo
Authorized OfficialTerry A BeldenOwner/md · (843) 449-5243
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJune 22, 2010
✔ NPI 1962478644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
831 82ND PKWY, Myrtle Beach, SC 29572

Other Identifiers 2

Medicare PIN3921SC
MedicaidGP0352SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

Myrtle Beach Family Medicine, Pa 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 Myrtle Beach Family Medicine, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1467428821
831 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-5243
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336360882
831 82ND PKWY
Myrtle Beach, SC 29572
(843) 449-5243
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1811963390
305 WILDWOOD CIR
Myrtle Beach, SC 29572
(843) 497-8538
✔ PECOS✔ Accepts Medicare0.9 mi

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

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 42D0251972

Myrtle Beach Family Medicine, PA · Myrtle Beach, SC
Active · expires Oct 31, 2027
CLIA Number42D0251972
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorDr. Terry Belden
Laboratory Phone(843) 497-0175
Laboratory LocationMyrtle Beach Family Medicine, PA831 82nd Parkway, Myrtle Beach, SC 29572
CLIA data matches this NPI record on: Address Name
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 Myrtle Beach Family Medicine, PA's NPI number?

The NPI number for Myrtle Beach Family Medicine, PA is 1962478644. It was assigned to this organization in the NPPES registry on February 23, 2006.

Where is Myrtle Beach Family Medicine, PA located?

Myrtle Beach Family Medicine, PA is located at 831 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 449-5243.

What is Myrtle Beach Family Medicine, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Myrtle Beach Family Medicine, PA enrolled in Medicare?

Yes. Myrtle Beach Family Medicine, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Myrtle Beach Family Medicine, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Myrtle Beach Family Medicine, PA, in Family Practice and Internal Medicine. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Myrtle Beach Family Medicine, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0251972) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Myrtle Beach Family Medicine, PA accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Myrtle Beach Family Medicine, PA 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 Myrtle Beach Family Medicine, PA was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.