Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC
NPI 1669188538 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Myrtle Beach, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC is a Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician organization in Myrtle Beach, SC (NPI 1669188538).
Provider details
- NPI number
- 1669188538
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janet Harris-Hicks, Owner(843) 895-2120
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Registry dates
- Enumerated
- 2023-01-25
- Last updated
- 2023-01-25
- Certified
- 2023-01-25
Frequently asked questions
- What is Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC's NPI number?
- Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC's National Provider Identifier (NPI) is 1669188538, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC?
- Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC is classified in the NPPES registry as Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC located?
- Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC's practice location on file with NPPES is 1021 Cipriana Dr Ste 250, Myrtle Beach, SC 29572-4621.
- What is Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC's phone number?
- The practice phone number listed in the NPPES registry for Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC is (843) 895-2120.
- Does Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC accept Medicare?
- Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC 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 Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC?
- The authorized official listed on Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC's NPPES record is Janet Harris-Hicks, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC's NPI active?
- Yes — Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC's NPI (1669188538) is active in the NPPES registry as of the last update on 2023-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.