Active NPI
Kevin Robert Monaghan, PA
- Surgical Physician Assistant
- Conway, SC
National Provider Identifier
1013223262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 3517
- Practice address
- 8004 Myrtle Trace Drive
Suite 200
Conway, SC 29526-2952 - Phone
- (843) 347-8041
- Fax
- (843) 347-8042
- NPI assigned
- Aug 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA054492 | PA | |
| Surgical Physician Assistant | 363AS0400X | 3517 | SC | Primary |
Addresses
Primary practice location
8004 Myrtle Trace Drive
Suite 200
Conway, SC 29526-2952
Mailing address
300 Singleton Ridge Road
Attention Patient Accounting
Conway, SC 29526-9142
Phone (843) 234-6946
Other practice location 1
100 Trich Dr
Suite 2
Washington, PA 15301-5990
Phone (724) 225-8657
Other practice location 2
6010 Highway 707
Suite 200
Myrtle Beach, SC 29588-7321
Phone (843) 347-8041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7112
394 Singleton Ridge Rd
Conway, SC 29526-9150
Phone (843) 347-8050
6010 Hwy 707
Myrtle Beach, SC 29588-7321
8004 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 234-8939
8024 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 234-8950
Hospital & facility affiliations
- Conway Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 52.78 of 100
- Quality
- 55.48
- Improvement activities
- 0
- Cost
- 74.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA054492 | PA | MD | Physician Assistant |
| 3517 | SC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Hospital, Inc. | Current | Accepting new patients | |
| Conway Hospital, Inc. | Past | Accepting new patients |
Locations
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Pediatrics Physician
- Conway, SC
- NPI 1851140180
-
- Internal Medicine Physician
- Little River, SC
- NPI 1558025783
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1013223262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE ROAD",
"address_2": "ATTENTION PATIENT ACCOUNTING",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-234-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8004 MYRTLE TRACE DRIVE",
"address_2": "SUITE 200",
"city": "CONWAY",
"state": "SC",
"postal_code": "295262952",
"telephone_number": "843-347-8041",
"fax_number": "843-347-8042"
}
],
"practiceLocations": [
{
"address_1": "100 Trich Dr",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "PA",
"postal_code": "153015990",
"country_code": "US",
"telephone_number": "724-225-8657",
"fax_number": "724-228-8388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6010 Highway 707",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295887321",
"country_code": "US",
"telephone_number": "843-347-8041",
"fax_number": "843-347-8042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONAGHAN",
"first_name": "KEVIN",
"middle_name": "ROBERT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-26",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA054492",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "3517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.