PEGGY BOURGUILLON M.D. – NPI #1073922753
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

PEGGY BOURGUILLON is a physician located in MURRELLS INLET, SC. NPPES has assigned the NPI number 1073922753 to PEGGY BOURGUILLON on August 07, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Oct 20, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEGGY BOURGUILLON below.

NPI Profile for
PEGGY BOURGUILLON

NPI Number
1073922753
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
PEGGY BOURGUILLON
Credentials
M.D.
Primary location
4959 HWY 17 BYPASS S.
MURRELLS INLET, SC 29576
Phone: (843) 357-1299 Fax: (843) 357-2264
Mailing address
PO BOX 2474
MURRELLS INLET, SC 29576-2474
Phone: (843) 357-1299 Fax: (843) 357-2264
Sole Proprietor
Yes
Updated
Certification Date
Oct 20, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 SC 51994

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
NEW YORK MEDICAL COLLEGE - Graduated 2014
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PEGGY BOURGUILLON is affiliated with the following medical group(s):
  • HOSPITAL
    • GRAND STRAND REGIONAL MEDICAL CENTER
      809 82ND PARKWAY
      MYRTLE BEACH, SC 29572
    • TIDELANDS GEORGETOWN MEMORIAL HOSPITAL
      606 BLACK RIVER RD DRAWER 1718
      GEORGETOWN, SC 29440
    • TIDELANDS WACCAMAW COMMUNITY HOSPITAL
      4070 HWY 17
      MURRELLS INLET, SC 29576

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.