Active NPI
Weems R Pennington III, MD
- Cardiovascular Disease Physician
- Aiken, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22253
- Practice address
- 137 Miracle Dr
Aiken, SC 29801-6351 - Phone
- (803) 641-4874
- Fax
- (803) 641-0436
- NPI assigned
- Oct 13, 2006
- Last updated
- Mar 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 59309 | GA | |
| Cardiovascular Disease Physician | 207RC0000X | 22253 | SC | Primary |
Addresses
Primary practice location
137 Miracle Dr
Aiken, SC 29801-6351
Mailing address
367 S. Gulph Rd
Att: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (803) 641-4874
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Medical College of Georgia School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
137 Miracle Dr
Aiken, SC 29801-6351
Phone (803) 226-0589
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 28 |
| Pacemaker insertion or repair | 18 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59309 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aiken Professional Association LLC | Cardiovascular Disease | Current | Accepting new patients |
| Aiken Professional Association, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Bimal R Shah MD PC | Past | Accepting new patients |
Locations
367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422
137 Miracle Dr
Aiken, SC 29801
Phone (803) 226-0589
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
440 Society Hill Dr
Ste 202
Aiken, SC 29803
Phone (803) 226-0102
336 Georgia Ave
Ste 102
North Augusta, SC 29841
Phone (803) 442-3006
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Aiken, SC
- NPI 1639479801
Cardiovascular Disease
-
- Ambulatory Surgical Clinic/Center
- Aiken, SC
- NPI 1205256989
-
dba Aiken Urgent Care
- Urgent Care Clinic/Center
- Graniteville, SC
- NPI 1457825846
Cardiovascular Disease
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wound Care Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1447437157
-
dba Aiken Regional Medical Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
-
dba Aiken Regional Medical Centers Neuro Physician Services
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1215027263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 S. GULPH RD",
"address_2": "ATT: IPM CREDENTIALING",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063121",
"telephone_number": "803-641-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 MIRACLE DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016351",
"telephone_number": "803-641-4874",
"fax_number": "803-641-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "WEEMS",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "59309",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "22253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
- Pediatric Therapy of Aiken, LLC (Pediatric Therapy Associates, LLC)
- Pediatric Therapy of Aiken, LLC
- Calvreka Monique Peeples
- Susan B Pelc, RN
- Pelvic Prime, LLC
- Taylor Greene Pennisi, PHARMD
- Pepper Hill SNF Operations LLC (Aiken Rehabilitation and Care Center)
- Shannon W Pepper, RPH
- Hamna Talha Peracha, MD
- Performanceabove LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.