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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: August 02, 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
Phone(843) 449-5243
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
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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

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.

Other Providers at the Same Location NPPES 3

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

MS. ELIZABETH JANE SIMEONE M.A. LPC, LMFT
Counselor (Professional)
831 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 651-1830
NAISHAJ SHAH M.D.
Family Medicine
831 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-5243
MR. TERRY A BELDEN MD
Family Medicine
831 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-5243

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.

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.

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.