SSI ADMIN, LLC (NPI# 1740643683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740643683 |
| Entity Type | Organization |
| Organization Name | SSI ADMIN, LLC |
| Practice Address |
1945 Glenns Bay Rd Suite B Surfside Beach SC 29575-4833 |
| Practice Telephone | 8436504006 |
| Practice Fax Number | 8436504019 |
| Mailing Telephone | 8436504006 |
| Mailing Fax Number | 8436504019 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | DR. BRIAN K ADLER (OWNER) |
| Authorized Official Telephone | 8436504006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1945 GLENNS BAY RD SUITE B |
| City | SURFSIDE BEACH |
| State | SC |
| Zip Code | 29575-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295798767 | Jeff L. Eggart | Specialist | 1945 Glenns Bay Rd, Surfside Beach, SC 29575-4833 | 2006-04-07 |
| 1043769524 | Surfside Beach Urgent Care LLC | Family Medicine | 1945 Glenns Bay Rd, Surfside Beach, SC 29575-4833 | 2016-09-26 |
| 1801250253 | Tara C Smith | Nurse Practitioner | 1945 Glenns Bay Rd, Surfside Beach, SC 29575-4833 | 2016-04-12 |
| 1093075269 | Alicia Williams Anderson | Nurse Practitioner | 1945 Glenns Bay Rd, Surfside Beach, SC 29575 | 2012-05-22 |
| 1962687160 | Marjory Bernard Wells | Advanced Practice Midwife | 1945 Glenns Bay Rd, Surfside Beach, SC 29575 | 2008-01-07 |
| 1801992433 | Tammy Strickland Melgar | Physician Assistant | 1945 Glenns Bay Rd, Surfside Beach, SC 29575-4833 | 2006-09-14 |
| 1114977394 | Timothy William Loebs | Counselor | 1945 Glenns Bay Rd, Surfside Beach, SC 29575-4833 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956561 | Adam Christian | Student in an Organized Health Care Education/Training Program | 611 S Hollywood Dr., Surfside Beach, SC 29575 | 2020-06-11 |
| 1740824481 | Latasha Irene Jones | Home Health | 1180 5th Ave N Ext, Unit I, Surfside Beach, SC 29575 | 2019-11-06 |
| 1518430693 | Surfside Counseling, LLC | Counselor | 1500 North Hwy 17 Business, Suite 104, Surfside Beach, SC 29575 | 2019-01-10 |
| 1316424393 | Mobile Medical PC | Clinic/Center | 1991 Glenns Bay Rd Ste 102b, Myrtle Beach, SC 29575 | 2018-07-23 |
| 1841786845 | Eva C Yu | Acupuncturist | 1514 Us-17 Bus, Surfside Beach, SC 29575 | 2018-07-03 |
| 1295262053 | Johanna Moeller | Speech-Language Pathologist | 8703 Highway 17 Bypass S, Suite I, Myrtle Beach, SC 29575 | 2017-05-11 |
| 1104227560 | Office Align Incorporated | Chiropractor | 8733 Bypass 17, Surfside Beach, SC 29575 | 2014-09-04 |
| 1972923738 | Walmart | Pharmacy | 125 Maryport Drive, Myrtle Beach, SC 29575 | 2014-04-21 |
| 1164719472 | South Beach Dental Office Inc. | Dentist | 8848 Hwy 17 Bypass, Surfside Beach, SC 29575 | 2011-07-07 |
| 1083943815 | Prs II, LLC | Physical Therapist | 3076 Dick Pond Road Unit 4, Myrtle Beach, SC 29575 | 2009-12-07 |
| Find all providers in zip 29575 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551926 | Nocd North Carolina PC | Clinic/Center | 374 Lakewind Dr, Moncks Corner, SC 29461-7448 | 2020-03-02 |
| 1316419484 | Open Arms Counseling Center | Clinic/Center | 123 Erinvine Ct, Darlington, SC 29532-4203 | 2018-12-29 |
| 1750851085 | Jacobus Orthopedics and Interventional Pain Management LLC | Clinic/Center | 118 Clair Dr, Piedmont, SC 29673-7771 | 2018-11-29 |
| 1629556477 | Healthworks Med Group of South Carolina P C | Clinic/Center | 701 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2018-08-03 |
| 1780177576 | Denmark-olar Elementary School | Clinic/Center | 1459 Solomon Blatt Blvd, Denmark, SC 29042 | 2018-06-07 |
| 1841782802 | Denmark-olar High School | Clinic/Center | 197 Viking Cir, Denmark, SC 29042 | 2018-06-05 |
| 1760974828 | Sandy Run K-8 School | Clinic/Center | 450 Old Swamp Rd, Swansea, SC 29160 | 2018-06-05 |
| 1881185999 | St. Matthews K-8 School | Clinic/Center | 132 Saints Avenue, St .matthews, SC 29135 | 2018-05-24 |
| 1598256711 | Calhoun County High School | Clinic/Center | 150 Saints Ave, St Matthews, SC 29135-9005 | 2018-05-23 |
| 1962908558 | Vitality Health Network LLC | Clinic/Center | 3100 Dick Pond Rd Unit E, Myrtle Beach, SC 29588-7286 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
| City | SURFSIDE BEACH |
| Zip Code | 29575 |
Please comment or provide details below to improve the information on SSI ADMIN, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.