NPIMap

Individual provider Active NPI

David Anthony Rosnack, M.D.

  • Nephrology Physician
  • Georgetown, SC
National Provider Identifier
1215906771
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
26791 Issued in SC
Practice address
1052A Huger Dr
Georgetown, SC 29440-3322
Phone
(843) 546-0223
Fax
(843) 545-0024
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 26791 SC Primary

Addresses

Primary practice location

1052A Huger Dr
Georgetown, SC 29440-3322

Mailing address

PO Box 2688
Georgetown, SC 29442-2688
Phone (843) 546-0223

Other identifiers 1

IdentifierTypeStateIssuer
267918MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000886 SC Practitioner - NephrologyPractitioner - Internal Medicine 7214928829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Medical College of Wisconsin, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waccamaw Kidney and Hypertension Specialists,P.a.Group PAC ID 8426049040, 2 clinicians

Practice addresses (Care Compare)

827 Church St
Georgetown, SC 29440-3501
Phone (843) 546-0223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26791SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waccamaw Kidney & Hypertension Specialists,P.a. Nephrology CurrentSince Jul 15, 2004 Accepting new patients

Locations

1052 Huger Dr
#A
Georgetown, SC 29440
Phone (843) 546-0223

1052A Huger Dr
Georgetown, SC 29440
Phone (843) 546-0223

827 Church St
Georgetown, SC 29440
Phone (843) 546-0223

4367 Riverwood Dr
Ste 205
Murrells Inlet, SC 29576
Phone 84365231194368

Interoperability endpoints

  • Direct secure messaging: drosnack186457@direct.musc.edu

Organizations & group practices 1

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 8

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1215906771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2688",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294422688",
            "telephone_number": "843-546-0223",
            "fax_number": "843-545-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052A HUGER DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403322",
            "telephone_number": "843-546-0223",
            "fax_number": "843-545-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNACK",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "26791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267918",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.