Jay T Johnson (NPI# 1265626006, PAC ID# 8325108822) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1265626006 |
| PAC ID by PECOS | 8325108822 |
| Professional Enrollment ID | I20140428000349 |
| Full Name | Jay T Johnson |
| Organization Legal Name | WACCAMAW COMMUNITY HOSPITAL |
| Address |
4070 Hwy 17 By Pass Murrells Inlet SC 29576-3350 |
| Phone Number | 8436521000 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2007 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9133036932 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| 420020 | TIDELANDS HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 | 8436521000 | WACCAMAW COMMUNITY HOSPITAL |
| Organization Legal Name | WACCAMAW COMMUNITY HOSPITAL |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Darin Mann | Family Medicine | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Sonia Suda | Hospitalist | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Scott A Coradi | Emergency Medicine | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Peggy Y Lively | Nurse Practitioner | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Christina R Hardwick | Physician Assistant | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Street Address |
4070 HWY 17 BY PASS |
| City | MURRELLS INLET |
| State | SC |
| Zip | 29576-3350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Darin Mann | Family Medicine | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Sonia Suda | Hospitalist | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Scott A Coradi | Emergency Medicine | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Peggy Y Lively | Nurse Practitioner | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Christina R Hardwick | Physician Assistant | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Marie Gonshor | Nurse Practitioner | Georgetown Physician Associates LLC | 2347s Hwy 17 Business S, Garden City, SC 29576 |
| Jessica Morjain | Internal Medicine | Georgetown Physician Associates LLC | 2347s Hwy 17 Business S, Garden City, SC 29576 |
| James E Turek | Family Medicine | Georgetown Physician Associates LLC | 2347s Hwy 17 Business S, Garden City, SC 29576 |
| Lamberto S Paragas Jr. | Emergency Medicine | Georgetown Physician Associates LLC | 4367 Riverwood Dr, Unit 140, Murrells Inlet, SC 29576-4381 |
| George Albert Wilkinson Jr. | Emergency Medicine | Georgetown Physician Associates LLC | 4367 Riverwood Dr, Unit 140, Murrells Inlet, SC 29576-4381 |
| Johanna Maggio | Nurse Practitioner | Southern Urgent Care Murrells Inlet LLC | 3583 Hwy 17, Murrells Inlet, SC 29576-5002 |
| Heidi Davis | Nurse Practitioner | Southern Urgent Care Murrells Inlet LLC | 3583 Hwy 17, Murrells Inlet, SC 29576-5002 |
| Heather E Williams | Physician Assistant | Southern Urgent Care Murrells Inlet LLC | 3583 Hwy 17, Murrells Inlet, SC 29576-5002 |
| Erik Lawrence Herte | Nurse Practitioner | Southern Urgent Care Murrells Inlet LLC | 3583 Hwy 17, Murrells Inlet, SC 29576-5002 |
| Naomi J Ferguson | Nurse Practitioner | Southern Urgent Care Murrells Inlet LLC | 3583 Hwy 17, Murrells Inlet, SC 29576-5002 |
| Find all physicians in zip 29576 | |||
| City | MURRELLS INLET |
| Zip Code | 29576 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MURRELLS INLET + EMERGENCY MEDICINE |
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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.