Individual provider Active NPI

Gregory Stephen Connor, MD

  • Diagnostic Ultrasound Physician
  • Hartsville, SC
National Provider Identifier
1265422992
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
7403 Issued in SC
Practice address
1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone
(843) 339-4790
Fax
(843) 339-4791
NPI assigned
Oct 25, 2005
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 7403 SC Primary

Addresses

Primary practice location

1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710

Mailing address

PO Box 100523
Florence, SC 29502-0523
Phone (843) 669-5162

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
I20111202000375 SC Practitioner - Diagnostic Radiology 2567483084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Illinois Medical College, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caresouth Carolina Inc.Group PAC ID 1052221314, 66 clinicians

Practice addresses (Care Compare)

1268 S 4TH St
Hartsville, SC 29550-0703
Phone (843) 332-3422

1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone (843) 669-5162

Merit-based Incentive Payment System (MIPS)

Final score
34.52 of 100Reported as individual
Quality
39.33
Improvement activities
0
Cost
62.62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prestwood Radiology, LLP CurrentSince May 1, 2019 Accepting new patients
Caresouth Carolina, Inc. CurrentSince Jun 9, 2022 Accepting new patients
Caresouth Carolina, Inc Past Accepting new patients

Locations

1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422

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

737 S Main St
Society Hill, SC 29593
Phone (843) 378-3000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1265422992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100523",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295020523",
            "telephone_number": "843-669-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W BOBO NEWSOM HWY",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504710",
            "telephone_number": "843-339-4790",
            "fax_number": "843-339-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "GREGORY",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "SC",
            "license": "7403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

Verify at the official NPI Registry.