Individual provider Active NPI

Ryan Mackenzie Connor, M.D.

  • Hospitalist Physician
  • Greenville, SC
National Provider Identifier
1205274693
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35677 Issued in SC
Practice address
701 Grove Rd FL 5
Greenville, SC 29605-4210
Phone
(864) 455-4411
Fax
(864) 455-4480
NPI assigned
Jun 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35677 SC
Hospitalist Physician 208M00000X 35677 SC Primary

Addresses

Primary practice location

701 Grove Rd FL 5
Greenville, SC 29605-4210

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8614

Other practice location 1

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2800

Other identifiers 2

IdentifierTypeStateIssuer
256778MedicaidSC
35677OtherSCSC LLR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rconnor290535@direct.ghs.myhfn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141024002143 SC Practitioner - HospitalistPractitioner - General PracticePractitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Emergency Medicine 8820219363 Reassigns benefits to 10 organizations
I20200825001026 NC Practitioner - Family Practice 8820219363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Emergency Medicine, Family Practice, General Practice, Hospice/Palliative Care
Education
University of South Carolina School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies South Carolina LLCGroup PAC ID 1355705070, 16 clinicians
Hartsville Medical Group LLCGroup PAC ID 7012062714, 78 clinicians

Practice addresses (Care Compare)

1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone (469) 340-1366

Hospital & facility affiliations

  • Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35677SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SC Hospital Medicine Physicians LLC CurrentSince Nov 1, 2021 Accepting new patients
Waccamaw Community Hospital CurrentSince Jun 18, 2021 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jun 18, 2021 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2014 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Family Medicine CurrentSince Oct 9, 2017 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 6, 2018 Accepting new patients
North Carolina Emergency Physicians, PLLC CurrentSince Jul 15, 2020 Accepting new patients
McLeod Health Cheraw Family Medicine CurrentSince Dec 10, 2016 Accepting new patients
Hartsville Medical Group LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
McLeod Physician Associates II Family Medicine CurrentSince Jun 6, 2018 Accepting new patients
McLeod Health Cheraw CurrentSince Dec 10, 2016 Accepting new patients
Robeson Hospitalist Group PLLC Hospitalist CurrentSince Jul 15, 2020 Accepting new patients
App of South Carolina Ed PLLC CurrentSince Jun 17, 2020 Accepting new patients
Ies South Carolina LLC CurrentSince Mar 1, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine CurrentSince Sep 15, 2014 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jun 18, 2021 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Current Accepting new patients

Locations

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

710 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 537-0001

144 N Ravenel St
Florence, SC 29506
Phone (843) 777-2566

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

701 Medical Park Dr
Ste 305B
Hartsville, SC 29550

700 Medical Park Dr
Hartsville, SC 29550
Phone (843) 383-3742

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: rconnor846241@direct.unc.nchie.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1205274693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD FL 5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054210",
            "telephone_number": "864-455-4411",
            "fax_number": "864-455-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 E Cheves St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062617",
            "country_code": "US",
            "telephone_number": "843-777-2800",
            "fax_number": "843-777-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "RYAN",
        "middle_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "35677",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "35677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256778",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LLR",
            "identifier": "35677",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rconnor290535@direct.ghs.myhfn.org",
            "affiliation": "N",
            "address_1": "701 Grove Rd Fl 5",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.