Karen C Penrose (NPI# 1003907478, PAC ID# 1557347515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003907478 |
| PAC ID by PECOS | 1557347515 |
| Professional Enrollment ID | I20040629000784 |
| Full Name | Karen C Penrose |
| Organization Legal Name | SIDNEY P SMITH MD PC |
| Address |
6677 Ga Hwy 67 Statesboro GA 30458 |
| Phone Number | 9128394949 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042206807 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111311 | JENKINS COUNTY MEDICAL CENTER |
| 111334 | CANDLER COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 Mohawk St, Ste E, Savannah, GA 31419-1768 | 9129250067 | SIDNEY P SMITH MD PC |
| 6677 Ga Hwy 67, Statesboro, GA 30458 | 9128394949 | SIDNEY P SMITH MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 96% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 83% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 67% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 78% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 100% |
| Organization Legal Name | SIDNEY P SMITH MD PC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Stephens | Physician Assistant | Sidney P Smith Md PC | 305 Elm St W, Hampton, SC 29924-3205 |
| Sidney P Smith Iii | Dermatology | Sidney P Smith Md PC | 176 Dermis Rd, Hardeeville, SC 29927 |
| William R Marshall Iii | Nurse Practitioner | Sidney P Smith Md PC | 9665 Ford Ave, Richmond Hill, GA 31324-3652 |
| Martina Kolovich | Nurse Practitioner | Sidney P Smith Md PC | 9665 Ford Ave, Richmond Hill, GA 31324-3652 |
| Courtney Johnson | Nurse Practitioner | Sidney P Smith Md PC | 900 Mohawk St, Ste E, Savannah, GA 31419-1768 |
| Christopher J Anderson | Nurse Practitioner | Sidney P Smith Md PC | 900 Mohawk St, Ste E, Savannah, GA 31419-1768 |
| Rebecca L Darroudi | Physician Assistant | Sidney P Smith Md PC | 900 Mohawk St, Ste E, Savannah, GA 31419-1768 |
| Larry I A Canfield | Physician Assistant | Sidney P Smith Md PC | 9665 Ford Ave, Richmond Hill, GA 31324-3652 |
| Beth V Barlet | Physician Assistant | Sidney P Smith Md PC | 900 Mohawk St, Ste E, Savannah, GA 31419-1768 |
| Julie Griner Mattox | Nurse Practitioner | Sidney P Smith Md PC | 900 Mohawk St, Ste E, Savannah, GA 31419-1768 |
| Street Address |
6677 GA HWY 67 |
| City | STATESBORO |
| State | GA |
| Zip | 30458 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy O Kitching | Chiropractic | 2 Ed Moore Court, Statesboro, GA 30458 | |
| Samuel D Chapman | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Elizabeth Hinely | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Andrea B Pitts | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Anuj Goel | Psychiatry | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| Deborah Stewart | Nurse Practitioner | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| Saraju C Dalsania | Internal Medicine | 1601 Fair Rd, Suite 700, Statesboro, GA 30458-0800 | |
| Stacey C Basquin | Physician Assistant | East Georgia Hma Physician Management LLC | 1601 Fair Rd, Suite 600, Statesboro, GA 30458-0800 |
| Harsh Bhushan | Hematology/oncology | 1601 Fair Rd, Suite 900, Statesboro, GA 30458-0800 | |
| James L Routon | Anesthesiology | 1497 Fair Rd, Statesboro, GA 30458-0822 | |
| Find all physicians in zip 30458 | |||
| City | STATESBORO |
| Zip Code | 30458 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | STATESBORO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Karen C Penrose.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.