Lindsay Marie Johnson (NPI# 1972988590, PAC ID# 8628379625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972988590 |
| PAC ID by PECOS | 8628379625 |
| Professional Enrollment ID | I20151216002109 |
| Full Name | Lindsay Marie Johnson |
| Organization Legal Name | WACCAMAW DERMATOLOGY, LLC |
| Address |
917 Medical Cir Myrtle Beach SC 29572-4116 |
| Phone Number | 8434490453 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7315021169 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420020 | TIDELANDS HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 917 Medical Cir, Myrtle Beach, SC 29572-4116 | 8434490453 | WACCAMAW DERMATOLOGY, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 94% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 0% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 73% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | WACCAMAW DERMATOLOGY, LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan M Wiss | Dermatology | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Misty Danelle Polston | Nurse Practitioner | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Robert D Bibb | Dermatology | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Erin Stephanie Coakley | Physician Assistant | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Ashleigh L Kinon | Nurse Practitioner | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Brandon J Coakley | Dermatology | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Street Address |
917 MEDICAL CIR |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29572-4116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan M Wiss | Dermatology | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Misty Danelle Polston | Nurse Practitioner | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Robert D Bibb | Dermatology | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Erin Stephanie Coakley | Physician Assistant | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Ashleigh L Kinon | Nurse Practitioner | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Brandon J Coakley | Dermatology | Waccamaw Dermatology, LLC | 917 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Staples | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Paul Vojtek | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Stephen Swygert Ford | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Kara Houston | Physical Medicine and Rehabilitation | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Steven Goodman | Chiropractic | 9612n Kings Hwy, Myrtle Beach, SC 29572-4006 | |
| Barbie Suggs Anderson | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Emily Pond Wright | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Stephen Gordon Remine | General Surgery | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Richard G Snyder | General Practice | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Bleselda G Paragas | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Find all physicians in zip 29572 | |||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MYRTLE BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lindsay Marie Johnson.
| 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.