Individual provider Active NPI

C Gregory Kang, MD

  • Physical Medicine & Rehabilitation Physician
  • Myrtle Beach, SC
National Provider Identifier
1275560419
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
19925 Issued in SC
Practice address
3029 Newcastle Loop
Myrtle Beach, SC 29588-4502
Phone
(843) 215-8868
Fax
(803) 932-9618
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 19925 SC Primary

Addresses

Primary practice location

3029 Newcastle Loop
Myrtle Beach, SC 29588-4502

Mailing address

PO Box 811
Murrells Inlet, SC 29576-0811
Phone (803) 932-9621

Other identifiers 1

IdentifierTypeStateIssuer
199252MedicaidSC

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
I20051103001035 SC Practitioner - Physical Medicine and Rehabilitation 8325939192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Florida College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3029 Newcastle Loop
Myrtle Beach, SC 29588-4502
Phone (843) 215-8868

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.61 of 100Reported as individual
Quality
93.33
Improvement activities
40
Cost
79.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Anesthesia Group LLC Past Accepting new patients
Palmetto Spine and Pain Care Consultants, LLC PastSince Dec 26, 2002 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cgregorykang.cgregorykang@127996.advancedmd-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGDFAD

Organizations & group practices 3

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.

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1275560419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295760811",
            "telephone_number": "803-932-9621",
            "fax_number": "843-215-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 NEWCASTLE LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-215-8868",
            "fax_number": "803-932-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "C",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "19925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199252",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.