{"npi":"1174769764","type":"NPI-2","status":"active","name":{"display":"Beaufort County Memorial Hospital","other":[],"organization_name":"BEAUFORT COUNTY MEMORIAL HOSPITAL","authorised_official":"Edmond Baxley"},"specialty":{"primary_taxonomy":"2085R0001X","primary_taxonomy_description":"Radiation Oncology Physician","slug":"radiation-oncology-physician","schema_org_specialty":null,"all":[{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"989 RIBAUT RD STE 130","city":"BEAUFORT","state":"SC","postal_code":"29902","country_code":"US","phone":"8435227800","fax":"8435227800"},{"purpose":"MAILING","street_1":"955 RIBAUT RD","city":"BEAUFORT","state":"SC","postal_code":"299025441","country_code":"US","street_2":"BMAC CREDENTIALING","phone":"8435225785","fax":"8435225678"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"GP8977","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090121000511","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"SC","pac_id":"7810809365"}]},"enumeration_date":"2009-01-02","last_updated":"2020-06-04","_meta":{"source":"NPPES","snapshot_date":"2020-06-04","doc_url":"https://findmynpi.com/api"}}