Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Desmond Recardo Ponder, MD

Individual provider Family Medicine Physician · NPI 1184206674

Desmond Recardo Ponder, MD is a Family Practice in Myrtle Beach, South Carolina. Qualified in 2020, 6 years ago. Practices with Conway Hospital Inc, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579
Phone: (843) 236-2700
Fax: (843) 236-2726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4022 Postal Way, Myrtle Beach, SC 29579-3537 — (843) 236-0000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 86042 (SC)

Record details

NPI number1184206674
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2021
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Conway Hospital Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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