Gregory Stephen Connor, MD
Individual provider Active NPI Diagnostic Ultrasound Physician · Hartsville, SC
NPI 1265422992 · NPPES record last updated Apr 24, 2018
Key facts
- NPI
- 1265422992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Ultrasound Physician 2085U0001X
- License
- 7403 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Illinois Medical College, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Caresouth Carolina Inc.
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 100
- Quality
- 39.33
- Improvement activities
- 0
- Cost
- 62.62
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111202000375 | SC | Practitioner - Diagnostic Radiology | 2567483084 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestwood Radiology, LLP | Current |
Accepting new patients | |
| Caresouth Carolina, Inc. | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 7403 | SC | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074038 | Medicaid | SC |
Other providers in Hartsville, SC
- Clemson Eye, PA
- Danna Dubose Coe
- Samuel Pressly Coker III
- Community Health and Urgent Care LLC
- Compassionate Care of Hartsville
- Dale Phillip Cooper
- Jacob S Cosby
- Jenna Lane Cottingham
- Jacob Coward
- Lydia Cox
All providers in Hartsville, SC · Diagnostic Ultrasound Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.