NPIMap

Individual provider Active NPI

Kevin Macpherson, PA-C

  • Physician Assistant
  • Murrells Inlet, SC
National Provider Identifier
1093724742
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2931 Issued in SC
Practice address
3545 Highway 17 Unit 200
Murrells Inlet, SC 29576-5113
Phone
(843) 294-1941
Fax
(843) 294-1945
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 170 MA
Physician Assistant 363A00000X 2931 SC Primary

Addresses

Primary practice location

3545 Highway 17 Unit 200
Murrells Inlet, SC 29576-5113

Mailing address

210 Village Center Blvd Ste 140
Myrtle Beach, SC 29579-6706
Phone (843) 353-3460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080611000792 MA Practitioner - Physician Assistant 8426129909 Reassigns benefits to 1 organization
I20180508001840 SC Practitioner - Physician Assistant 8426129909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Northeastern Ohio University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosc LLCGroup PAC ID 8022370030, 113 clinicians

Practice addresses (Care Compare)

1621 Hwy 17 N
North Myrtle Beach, SC 29582-2229
Phone (843) 353-3460

2376 Cypress Cir
Suite 300
Conway, SC 29526-8995
Phone (843) 353-3460

3545 Hwy 17
Unit 200
Murrells Inlet, SC 29576-5113
Phone (843) 353-3460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
170MAMDMarriage & Family Therapist
2931SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosc, LLC CurrentSince Apr 11, 2018 Accepting new patients
Orthosc, LLC CurrentSince Apr 11, 2018 Accepting new patients
New England Orthopedic Surgeons Physician Assistant CurrentSince Aug 25, 1998 Accepting new patients

Locations

300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292

2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222

3545 Highway 17
Unit 200
Murrells Inlet, SC 29576
Phone (843) 294-1941

3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941

3620 Walton Dr
Unit C5
Myrtle Beach, SC 29577

210 Village Center Blvd
Ste 200
Myrtle Beach, SC 29579
Phone (843) 236-3222

210 Village Center Blvd
Ste 140
Myrtle Beach, SC 29579
Phone (843) 333-8385

1621 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 335-3346

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kevin.macpherson.1@17161.direct.athenahealth.com

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1093724742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 VILLAGE CENTER BLVD STE 140",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796706",
            "telephone_number": "843-353-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 HIGHWAY 17 UNIT 200",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765113",
            "telephone_number": "843-294-1941",
            "fax_number": "843-294-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACPHERSON",
        "first_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "170",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.