DR. RANDY LEE WARREN M.D.
NPI 1972614774
Psychiatry & Neurology - Psychiatry in Myrtle Beach, SC

Active since August 31, 2006PECOS Enrolled
1101 JOHNSON AVE, SUITE 204, MYRTLE BEACH, SC 29577(843) 477-0177 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Randy Lee Warren M.d. NPPES

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

DR. RANDY LEE WARREN M.D. (NPI 1972614774) is an individual psychiatry provider in Myrtle Beach, South Carolina, licensed in West Virginia (21827) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972614774
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RANDY LEE WARRENCredential: M.D.
Location Address1101 JOHNSON AVE, SUITE 204Myrtle Beach, SC 29577-1893
Mailing Address1101 Johnson Ave, Suite 204Myrtle Beach, SC 29577-1893 · (843) 477-0177
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 30, 2015
NPI 1972614774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in WV · 21827
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1101 JOHNSON AVE, Myrtle Beach, SC 29577

Other Identifiers 4

Medicaid381002129WV
Other002006862WV · Blue Cross/blue Shield
Medicare UPINI33417WV
Medicare PINWA4162851WV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Randy Lee Warren M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

Audiologist
1101 JOHNSON AVE, SUITE 204
MYRTLE BEACH, SC 29577
Nurse Practitioner (Psychiatric/Mental Health)
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Physical Therapist
1101 JOHNSON AVE, RM 138
MYRTLE BEACH, SC 29577
Social Worker (Clinical)
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Psychologist (Clinical)
1101 JOHNSON AVE, SUITE 200
MYRTLE BEACH, SC 29577
Psychologist (Clinical)
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Audiologist
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Internal Medicine (Cardiovascular Disease)
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577

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 Randy Warren's NPI number?

The NPI number for Randy Warren is 1972614774. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Randy Warren located?

Randy Warren practices at 1101 Johnson Ave Suite 204, Myrtle Beach, SC 29577. The listed phone number is (843) 477-0177.

What is Randy Warren's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Randy Warren enrolled in Medicare?

Yes. Randy Warren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randy Warren was last updated on September 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.