Individual provider Active NPI

Kathleen M Raynor, MD

  • Gastroenterology Physician
  • Myrtle Beach, SC
National Provider Identifier
1093914343
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
33388 Issued in SC
Practice address
7900 N Kings Hwy
Myrtle Beach, SC 29572-3055
Phone
(843) 449-3381
Fax
(843) 449-9721
NPI assigned
Jul 17, 2007
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 33388 SC Primary

Addresses

Primary practice location

7900 N Kings Hwy
Myrtle Beach, SC 29572-3055

Mailing address

7900 N Kings Hwy
Myrtle Beach, SC 29572-3055
Phone (843) 449-3381

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110921000061 SC Practitioner - GastroenterologyPractitioner - Internal Medicine 0648441782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strand Gi Associates PAGroup PAC ID 2163413717, 10 clinicians

Practice addresses (Care Compare)

7900 N Kings Hwy
Myrtle Beach, SC 29572-3055
Phone (843) 449-3381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy329
Upper gastrointestinal (GI) endoscopy for acid reflux309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33388SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Gastroenterology, LLC Gastroenterology Current Accepting new patients
Strand Gi Associates PA Gastroenterology CurrentSince Aug 1, 2015 Accepting new patients
Strand Gastrointestinal Endoscopy Center PastSince Dec 13, 2020 Accepting new patients

Locations

1011 N Fraser St
Georgetown, SC 29440
Phone (803) 527-3428

7900 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 449-3381

7900 N Kings Hwy
#A
Myrtle Beach, SC 29572
Phone (843) 449-3381

7900 N Kings Hwy
#B
Myrtle Beach, SC 29572
Phone (843) 839-2581

945 82nd Pkwy
Ste 3
Myrtle Beach, SC 29572
Phone (843) 449-3381

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1093914343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723055",
            "telephone_number": "843-449-3381",
            "fax_number": "843-449-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723055",
            "telephone_number": "843-449-3381",
            "fax_number": "843-449-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "33388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.