Timothy J Cornnell, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

19597 Issued in SC

Practice address

7900 N Kings Hwy Ste a
Myrtle Beach, SC 29572-3055

Phone

(843) 449-3381

Fax

(843) 839-0275

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Gastroenterology

Education

University of Miami, LM Miller School of Medicine, 1991

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)

Hospital & facility affiliations

• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
• McLeod Loris Hospital Hospital, Loris, SC, CCN 420105

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Strand Gi Associates PA

  • Gastroenterology Physician
  • Myrtle Beach, SC
  • NPI 1700864519
  Medicare reassignment Care Compare group NPD
• Strand Gastrointestinal Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Myrtle Beach, SC
  • NPI 1073546875
  NPD (past)

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

• Grand Strand Regional Medical Center LLC

  dba Grand Strand Medical Center

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation
• McLeod Loris Seacoast Hospital

  dba Loris Community Hospital

  • General Acute Care Hospital
  • Loris, SC
  • NPI 1306123344
  Care Compare affiliation

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1114913050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N KINGS HWY STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723055",
            "telephone_number": "843-449-3381",
            "fax_number": "843-839-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N KINGS HWY STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723055",
            "telephone_number": "843-449-3381",
            "fax_number": "843-839-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNNELL",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "19597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195979",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles E Corbett Jr.
• Angel Davis Corbin, LPC, LCAS
• Christy L Corbin
• Cornerstone Caregiving East LLC
• Stephanie Helbeck Cornfield, MSW
• Jeffrey Corradetti, CPHT
• Emilynn Cortese
• Melissa Costantini, FNP
• Costco Wholesale Corporation (Costco Hearing Aid #338)
• Costco Wholesale Corporation (Costco Optical #338)

• Gastroenterology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Gastroenterology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.

Verify at the official NPI Registry.