William W Haynes Jr. (NPI# 1851341317, PAC ID# 3274582291) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1851341317 |
| PAC ID by PECOS | 3274582291 |
| Professional Enrollment ID | I20050118000232 |
| Full Name | William W Haynes Jr. |
| Organization Legal Name | COASTAL CAROLINA PRIMARY CARE, LLC |
| Address |
9221 University Blvd Suite 102 North Charleston SC 29406-9148 |
| Phone Number | 8437600700 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577629088 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420030 | COLLETON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8432917182 | COASTAL CAROLINA PRIMARY CARE, LLC |
| 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 | 8437600700 | COASTAL CAROLINA PRIMARY CARE, LLC |
| 302 Medical Park Dr, Suite 211, Walterboro, SC 29488-5749 | 8435499568 | COASTAL CAROLINA PRIMARY CARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | COASTAL CAROLINA PRIMARY CARE, LLC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Shadiack | Family Medicine | Coastal Carolina Primary Care, LLC | 839 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Nancy Burgess Stroud | Obstetrics/gynecology | Coastal Carolina Primary Care, LLC | 9279 Medical Plaza Dr, Suite A, Charleston, SC 29406-9141 |
| Jerry G Back | Internal Medicine | Coastal Carolina Primary Care, LLC | 2845 Tricom St, North Charleston, SC 29406-9172 |
| Alexander W Chessman | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Susan K Herrington | Physician Assistant | Coastal Carolina Primary Care, LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Sarah E Hearn | Physician Assistant | Coastal Carolina Primary Care, LLC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Nicholas P Shungu | Family Medicine | Coastal Carolina Primary Care, LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Sean Patrick Haley | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Eric M Matheson | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Kristen L Hood Watson | Family Medicine | Coastal Carolina Primary Care, LLC | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 |
| Street Address |
9221 UNIVERSITY BLVD SUITE 102 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip | 29406-9148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan K Herrington | Physician Assistant | Coastal Carolina Primary Care, LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Stephen Patrick Hamm | Physician Assistant | Coastal Carolina Primary Care, LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Lisa M Wright | Family Medicine | Coastal Carolina Primary Care, LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Tatyana Gluzberg | Family Medicine | Coastal Carolina Primary Care, LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Mark G Gobin | Internal Medicine | Coastal Carolina Primary Care, LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Christine A Case | Obstetrics/gynecology | 9221 University Blvd, 2e, N Charleston, SC 29406-9148 | |
| Cynthia T Fields | Obstetrics/gynecology | Coastal Carolina Primary Care LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Jeffery S Hover | Physician Assistant | Coastal Carolina Primary Care LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Stephen G Gelfand | Rheumatology | Coastal Carolina Primary Care LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Barry L Hainer | Family Practice | Coastal Carolina Primary Care LLC | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Coker | Cardiovascular Disease (cardiology) | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Mary L Bowen | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jason B Coker | Internal Medicine | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Dana West | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Victoria M Adams | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Kirsten Lynn Paris | Physician Assistant | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, North Charleston, SC 29406 |
| Jack Stansbury | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jennifer M Lesslie | Optometry | 1370 Remount Rd, Suite B, N Charleston, SC 29406-3322 | |
| Francis Akom | Obstetrics/gynecology | 1370 Remount Rd D, North Charleston, SC 29406-3322 | |
| Michael David Schall | Optometry | 1415 Remount Rd, N Charleston, SC 29406-3326 | |
| Find all physicians in zip 29406 | |||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NORTH CHARLESTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on William W Haynes Jr..
| 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.