BEAUFORT COUNTY MEMORIAL HOSPITAL (NPI# 1801035456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801035456 |
| Entity Type | Organization |
| Organization Name | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | BEAUFORT MEMORIAL SEA ISLAND PSYCHIATRY |
| Practice Address |
989 Ribaut Rd Suite 240 Beaufort SC 29902-5472 |
| Mailing Address |
989 Ribaut Rd Suite 260 Beaufort SC 29902-5472 |
| Practice Telephone | 8435225600 |
| Practice Fax Number | 8435227625 |
| Mailing Telephone | 8435225600 |
| Mailing Fax Number | 8435227625 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | MISS EDMOND RUSSELL BAXLEY III (CEO) |
| Authorized Official Telephone | 8435225140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 400676 | 05 |
| Other Name | Type Code |
|---|---|
| BEAUFORT MEMORIAL SEA ISLAND PSYCHIATRY | Other Name - Individual/Organization |
| Sea Island Psychiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1619248317 | Beaufort County Memorial Hospital | Specialist | 990 Ribaut Rd Ste 210, Beaufort, SC 29902-8011 | 2012-01-26 |
| 1235430745 | Beaufort County Memorial Hospital | Internal Medicine | 1716 Ribaut Rd, Port Royal, SC 29935-1927 | 2010-11-15 |
| 1346474996 | Beaufort County Memorial Hospital | Specialist | Beaufort Memorial Surgical Specialists, 989 Ribaut Rd, Ste 360, Beaufort, SC 29902-5427 | 2009-05-12 |
| 1174769764 | Beaufort County Memorial Hospital | Radiology | 989 Ribaut Rd Ste 130, Beaufort, SC 29902 | 2009-01-02 |
| 1598713117 | Beaufort County Memorial Hospital | Internal Medicine | Beaufort Memorial Primary Care, 989 Ribaut Rd, Ste 260, Beaufort, SC 29902-5499 | 2006-05-05 |
| 1033175344 | Beaufort County Memorial Hospital | Physician Assistant | 1000 Pine Street West, Varnville, SC 29944-0969 | 2006-04-25 |
| 1366436073 | Beaufort County Memorial Hospital | General Acute Care Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2005-09-08 |
| 1992327845 | Beaufort County Memorial Hospital | Internal Medicine | 4818 Bluffton Pkwy, Bluffton, SC 29910-4602 | 2020-05-14 |
| 1235552746 | Beaufort County Memorial Hospital | Obstetrics & Gynecology | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2014-02-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEAUFORT COUNTY MEMORIAL HOSPITAL | 955 Ribaut Rd, Beaufort, SC 29902-5441 |
| Street Address |
989 RIBAUT RD SUITE 240 |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-5472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679568216 | Andrea Dell Hucks | Internal Medicine | 989 Ribaut Rd, Ste 260, Beaufort, SC 29902-5472 | 2005-09-20 |
| 1942699723 | Paul James Schaefer | Physician Assistant | 989 Ribaut Rd, Beaufort, SC 29902-5472 | 2015-01-15 |
| 1457756058 | Katherine Mae Rabasco | Occupational Therapist | 989 Ribaut Rd, St 360, Beaufort, SC 29902-5472 | 2014-10-27 |
| 1639574239 | Lea Cifranick | Speech-Language Pathologist | 989 Ribaut Rd, Healthlink for Children, Beaufort, SC 29902-5472 | 2014-10-27 |
| 1689090409 | Erin Lynn Wilcox | Speech-Language Pathologist | 989 Ribaut Rd, Suite 360, Beaufort, SC 29902-5472 | 2014-03-17 |
| 1679813331 | Diane Elizabeth Haigler | Physical Therapist | 989 Ribaut Rd, Suite 330, Beaufort, SC 29902-5472 | 2013-02-18 |
| 1649519679 | Angela Bandola | Occupational Therapist | 989 Ribaut Rd, Suite 330, Beaufort, SC 29902-5472 | 2013-02-12 |
| 1902152911 | Ronda Inga Oconnell | Nurse Practitioner | 989 Ribaut Rd, Suite 260, Beaufort, SC 29902-5472 | 2012-07-27 |
| 1841565462 | Lauren Hill | Speech-Language Pathologist | 989 Ribaut Rd, 360, Beaufort, SC 29902-5472 | 2012-03-14 |
| 1750652236 | Kimberly A Cummings | Speech-Language Pathologist | 989 Ribaut Rd, Beaufort, SC 29902-5472 | 2012-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457553984 | Mary St.john | Psychiatry & Neurology | 2719 Boundary St, Beaufort, SC 29906-7342 | 2007-06-05 |
| 1912934191 | Carl William Brune | Psychiatry & Neurology | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2006-06-26 |
| 1518220383 | Edward Elton Hearn | Psychiatry & Neurology | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2012-06-18 |
| 1538434923 | Brittany Klein Sauerborn | Psychiatry & Neurology | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2012-03-19 |
| 1013131887 | Gary Winston Noble | Psychiatry & Neurology | 1050 Ribaut Rd, Coastal Empire Mental Health, Beaufort, SC 29902-5400 | 2007-04-12 |
| 1700998465 | Judith Treadway | Psychiatry & Neurology | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2006-08-31 |
| 1003928029 | Charles J. Reamy | Psychiatry & Neurology | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2006-08-31 |
| 1760406037 | Angela Minnick Court | Psychiatry & Neurology | 1 Pinckney Blvd, Beaufort Va Primary Care Clinic, Beaufort, SC 29902-6122 | 2006-07-27 |
| 1184683880 | Mary W Hill | Psychiatry & Neurology | 989 Ribaut Rd, Suite 240, Beaufort, SC 29902-5472 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072601 | A'nucare | Psychiatry & Neurology | 708 Pearl St, Darlington, SC 29532-3842 | 2020-08-04 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1942825484 | Amelia Katherine Watson | Psychiatry & Neurology | 2 Ehrhardt Street, Msc 861, Charleston, SC 29495 | 2020-06-10 |
| 1043835879 | Vida Gholami Yousefian | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-08 |
| 1518591858 | Awakenings Psychiatric Services, PC | Psychiatry & Neurology | 1010 E North St Ste 1a, Greenville, SC 29601-3166 | 2020-02-25 |
| 1841835212 | Lauren Elisabeth Collins | Psychiatry & Neurology | 1404 Cilantro Ct, Tega Cay, SC 29708-0133 | 2019-11-08 |
| 1063061620 | Hopefull Counseling and Psychiatry LLC | Psychiatry & Neurology | 1421 Calhoun St, Columbia, SC 29201-2509 | 2019-09-06 |
| 1396306767 | Charles Francis Palmer IIi | Psychiatry & Neurology | 2 Ehrhardt St, Charleston, SC 29425-0001 | 2019-06-25 |
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| 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.