Thomas Williamson (NPI# 1124081468, PAC ID# 7012101124) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1124081468 |
| PAC ID by PECOS | 7012101124 |
| Professional Enrollment ID | I20101103000210 |
| Full Name | Thomas Williamson |
| Organization Legal Name | KERSHAW CLINICS LLC |
| Address |
1102 Roberts St Camden SC 29020-3734 |
| Phone Number | 8034254337 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1968 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 6608176987 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420048 | KERSHAWHEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1102 Roberts St, Camden, SC 29020-3734 | 8034254337 | KERSHAW CLINICS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 13% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 28% |
| Organization Legal Name | KERSHAW CLINICS LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Wall Crawford | Nurse Practitioner | Kershaw Clinics LLC | 40 Pinnacle Pkwy, Suite 208, Elgin, SC 29045-8390 |
| Guy B Kahler | Emergency Medicine | Kershaw Clinics LLC | 1111 Mill St, Camden, SC 29020-3763 |
| Jeanann Vawter | Nurse Practitioner | Kershaw Clinics LLC | 40 Pinnacle Pkwy, Suite 212, Elgin, SC 29045-8390 |
| John Parrott | Orthopedic Surgery | Kershaw Clinics LLC | 40 Pinnacle Pkwy, Suite 104, Elgin, SC 29045-8390 |
| Edward A Gill | General Surgery | Kershaw Clinics LLC | 1102 Roberts St, Camden, SC 29020-3734 |
| Milford Berten Hutchinson Iii | Obstetrics/gynecology | Kershaw Clinics LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Kevin Michael Nasky | Psychiatry | Kershaw Clinics LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Manish Patel | Urology | Kershaw Clinics LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Jessica Leigh Davis Atkinson | Nurse Practitioner | Kershaw Clinics LLC | 1315 Roberts St, Camden, SC 29020-3737 |
| Michelle G Archer | Family Medicine | Kershaw Clinics LLC | 40 Pinnacle Pkwy, Suite 208, Elgin, SC 29045-8390 |
| Street Address |
1102 ROBERTS ST |
| City | CAMDEN |
| State | SC |
| Zip | 29020-3734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward A Gill | General Surgery | Kershaw Clinics LLC | 1102 Roberts St, Camden, SC 29020-3734 |
| David P Christenberry | Vascular Surgery | Kershaw Clinics LLC | 1102 Roberts St, Camden, SC 29020-3734 |
| Amanda Garman | General Surgery | Kershaw Clinics LLC | 1102 Roberts St, Camden, SC 29020-3734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Nicole Jones | Nurse Practitioner | Lowcountry Urgent Care LLC | 2010 W Dekalb St, Camden, SC 29020-2058 |
| Sandra D Randolph | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Chanelle C Jackson | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Janette M Capaci | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Sandra A Jones | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Patricia A Siefferman | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Jonathan Braun Ksor | Podiatry | Carolina Podiatry Clinic LLC | 2502 Broad St, Camden, SC 29020-2225 |
| John Ksor | Podiatry | Carolina Podiatry Clinic LLC | 2502 Broad St, Camden, SC 29020-2225 |
| James Huger Richardson | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Venkateshwar K Gottipaty | Cardiac Electrophysiology | Providence Group Practices II LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Find all physicians in zip 29020 | |||
| City | CAMDEN |
| Zip Code | 29020 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CAMDEN + GASTROENTEROLOGY |
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| 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.