Marc James Comianos, DO
Individual provider Active NPI Internal Medicine Physician · Little River, SC
NPI 1013965532 · NPPES record last updated Jun 24, 2021
Key facts
- NPI
- 1013965532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 1431 (SC)
- Practice address
- 3980 Highway 9 E Ste 100
Little River, SC 29566-8163 - Phone
- (843) 390-8320
- Fax
- (843) 390-8329
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
McLeod Regional Medical Center of the Pee Dee Inc
Practice addresses (Care Compare)
190 River Park Dr
Little River, SC 29566-6844
Phone (843) 734-1457
3980 Hwy 9 E
Suite 100a
Little River, SC 29566-8163
Phone (843) 390-8320
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
Hospital & facility affiliations
- Well Care Home Health of the Lowcountry Inc
- Well Care Home Health
- Centerwell Home Health
- Amedisys Home Health of Conway
- McLeod Home Health Inc
- McLeod Regional Medical Center-Pee Dee
- McLeod Loris Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180720000943 | SC | Practitioner - Internal Medicine | 8022002203 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004891C | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current |
Accepting new patients |
| McLeod Physician Associates II | Internal Medicine | Current |
Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current |
Accepting new patients | |
| McLeod Physician Associates II | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
506 E Cheves St
#202
Florence, SC 29506
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
3980 Highway 9 E
Ste 100
Little River, SC 29566
Phone (843) 390-8320
3980 Highway 9 E
Ste 100A
Little River, SC 29566
Phone (843) 390-8320
3418 Casey St
Loris, SC 29569
Phone (843) 716-7911
Interoperability endpoints
- mcomianos26117@directmcleodehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34004891C | OH | |
| Internal Medicine Physician | 207R00000X | 1431 | SC | Yes |
Addresses
Primary practice location
3980 Highway 9 E Ste 100
Little River, SC 29566-8163
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 390-8320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000118340 | Other | OH | ANTHEM |
| 0400998 | Other | UHC | |
| 0673973 | Other | PALMETTO MEDICARE | |
| 353077 | Other | SUBMITTER NO | |
| 635999 | Other | AETNA | |
| 014317 | Medicaid | SC | |
| 110071156 | Other | TRAVELERS MEDICARE | |
| 311098079029 | Other | CIGNA | |
| 0871730 | Medicaid | OH |
Other providers in Little River, SC
- Coastal Podiatry Associates PA
- Coastal Rehabilitation & Regenerative Medicine, LLC
- Coastal Spine Institute PC
- Amber Collington
- Collins Anesthesia Associates
- Conway Hospital, Inc.
- Conway Hospital, Inc.
- Derion Conyers
- Emily C Cooper
- Rachael Mae Cooper
All providers in Little River, SC · Internal Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.