Executive Court Medical Specialist P.C.
NPI 1558575217 · Geriatric Medicine (Internal Medicine) Physician · Surfside Beach, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Executive Court Medical Specialist P.C. is a Geriatric Medicine (Internal Medicine) Physician organization in Surfside Beach, SC (NPI 1558575217).
Provider details
- NPI number
- 1558575217
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janet Buchanan, Office Manager(843) 839-4505
- License
- 15450 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Aka E C Medical Specialist
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2008-11-26
Frequently asked questions
- What is Executive Court Medical Specialist P.C.'s NPI number?
- Executive Court Medical Specialist P.C.'s National Provider Identifier (NPI) is 1558575217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Court Medical Specialist P.C.?
- Executive Court Medical Specialist P.C. is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Executive Court Medical Specialist P.C. located?
- Executive Court Medical Specialist P.C.'s practice location on file with NPPES is 997 Hwy 17 Business South, Surfside Beach, SC 29575-6084.
- What is Executive Court Medical Specialist P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Executive Court Medical Specialist P.C. is (843) 839-4505.
- Does Executive Court Medical Specialist P.C. accept Medicare?
- Executive Court Medical Specialist P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Executive Court Medical Specialist P.C.?
- The authorized official listed on Executive Court Medical Specialist P.C.'s NPPES record is Janet Buchanan, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Court Medical Specialist P.C.'s NPI active?
- Yes — Executive Court Medical Specialist P.C.'s NPI (1558575217) is active in the NPPES registry as of the last update on 2008-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.