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

Dr. Lane Ingram Moore, MD

Individual provider Surgery Physician · NPI 1598723900

Dr. Lane Ingram Moore, MD is a General Surgery in Myrtle Beach, South Carolina. Graduated from Medical College of Georgia School of Medicine in 1988, 38 years ago. Practices with Surgical Associates of Myrtle Beach, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
38
Trained at
Medical College of Georgia School of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

845 82nd Pkwy
Myrtle Beach, SC 29572-4614
Phone: (843) 449-9621
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 22109 (SC)

Record details

NPI number1598723900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESJuly 18, 2011

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesVASCULAR SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Surgical Associates Of Myrtle Beach, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Myrtle Beach