CONWAY HOSPITAL, INC. – NPI #1104159110
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CONWAY HOSPITAL, INC. is a provider located in CONWAY, SC. NPPES has assigned the NPI number 1104159110 to CONWAY HOSPITAL, INC. on September 09, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The NPI data also shows multiple names associated with this provider such as CMC Pulmonary and Sleep Medicine and 5 other listed below. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was last updated on Dec 24, 2025. 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 CONWAY HOSPITAL, INC. below.

NPI Profile for
CONWAY HOSPITAL, INC.

NPI Number
1104159110
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONWAY HOSPITAL, INC.
Other name(s)
All associated names:
Doing Business As (dba)
CMC Pulmonary and Sleep Medicine
Doing Business As (dba)
CMC Pulmonary and Sleep Medicine Church Street
Doing Business As (dba)
CMC Pulmonary and Sleep Medicine Socastee
Doing Business As (dba)
CMC Pulmonary and Sleep Medicine Waccamaw Medical Park
Former Legal Business Name
CONWAY HOSPITAL COMMUNITY SERVICES
Other Name
CPG PULMONARY & SLEEP MEDICINE
Primary location
2376 CYPRESS CIR, STE 100
CONWAY, SC 29526-8964
Phone: (843) 234-6888 Fax: (843) 234-6889
3 Other location(s):
176 Waccamaw Medical Park Ct
Conway, SC 29526-8965
Phone: (843) 234-6888
Fax: (843) 234-6889
2701 Church St, Ste D
Conway, SC 29526-9142
Phone: (843) 234-6888
Fax: (843) 234-6889
6010 Highway 707, Ste 300
Myrtle Beach, SC 29588-7321
Phone: (843) 234-6888
Fax: (843) 234-6889
Mailing address
300 SINGLETON RIDGE RD
ATTN: CREDENTIALING
CONWAY, SC 29526-9142
Phone: Fax:
Organization Subpart
No
Authorized Official
MARY ELLEN ARTIOLI
CREDENTIALING SPECIALIST
Phone: (843) 234-6946
Updated
Certification Date
Dec 24, 2025

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.

Identifiers

Identifiers for CONWAY HOSPITAL, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSCPG2913
medicaidSCGP4505
medicaidSCPG0368
medicaidSCPG2230
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
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)
363LA2100X
- Nurse Practitioner / Acute Care

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.