OrganizationActive
Atlantic Urology Clinic LLC
NPI 1790430429 · Non-Pharmacy Dispensing Site · Myrtle Beach, SC
Atlantic Urology Clinic LLC is a Non-Pharmacy Dispensing Site organization in Myrtle Beach, SC (NPI 1790430429).
Provider details
- NPI number
- 1790430429
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Atlantic Urology Clinic LLC
- Organization subpart
- Yes
- Authorized official
- Debbie Bolig, Director of Revenue Cycle(843) 347-2450
Specialties & taxonomies
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
823 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone: (843) 347-2450
Street-level locationGet directions
Mailing address
611 Burroughs and Chapin Blvd Ste 105
Myrtle Beach, SC 29577-3200
Other names (DBA / former)
- Other name
- Iod-Gsu
Registry dates
- Enumerated
- 2022-02-22
- Last updated
- 2022-02-22
- Certified
- 2022-02-22
Frequently asked questions
- What is Atlantic Urology Clinic LLC's NPI number?
- Atlantic Urology Clinic LLC's National Provider Identifier (NPI) is 1790430429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atlantic Urology Clinic LLC?
- Atlantic Urology Clinic LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Atlantic Urology Clinic LLC located?
- Atlantic Urology Clinic LLC's practice location on file with NPPES is 823 82nd Pkwy, Myrtle Beach, SC 29572-4607.
- What is Atlantic Urology Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Atlantic Urology Clinic LLC is (843) 347-2450.
- Who is the authorized official for Atlantic Urology Clinic LLC?
- The authorized official listed on Atlantic Urology Clinic LLC's NPPES record is Debbie Bolig, Director of Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atlantic Urology Clinic LLC's NPI active?
- Yes — Atlantic Urology Clinic LLC's NPI (1790430429) is active in the NPPES registry as of the last update on 2022-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.