Individual provider Active NPI

Susan George Knoche, M.D.

  • Colon & Rectal Surgery Physician
  • Summerville, SC
National Provider Identifier
1306013321
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
82253 Issued in SC
Practice address
295A Midland Pkwy Ste 140
Summerville, SC 29485-5901
Phone
(843) 695-2727
Fax
(843) 695-2728
NPI assigned
May 8, 2008
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 82253 SC Primary
Surgery Physician 208600000X 82253 SC
Colon & Rectal Surgery Physician 208C00000X 4301108743 MI
Surgery Physician 208600000X 4301108743 MI

Addresses

Primary practice location

295A Midland Pkwy Ste 140
Summerville, SC 29485-5901

Mailing address

295A Midland Pkwy Ste 140
Summerville, SC 29485-5901
Phone (843) 695-2727

Other practice location 1

5325 Elliott Dr Ste 104
Ypsilanti, MI 48197
Phone (734) 712-8150

Other practice location 2

5325 Elliott Dr Ste 104
Ypsilanti, MI 48197
Phone (734) 712-8150

Other practice location 3

874 Whipple Rd Ste 100
MT Pleasant, SC 29464-8900
Phone (469) 893-6483

Other practice location 4

570 Long Point Rd Ste 130
MT Pleasant, SC 29464
Phone (843) 981-5007

Other names 1

  • Susan George Former name

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
I20190513000751 SC Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 3971721887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Florida College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Multispecialty Associates LLCGroup PAC ID 9931105046, 48 clinicians

Practice addresses (Care Compare)

295 A Midland Pkwy
Suite 140
Summerville, SC 29485-5901
Phone (843) 695-2727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
78.15
Promoting interoperability
98
Improvement activities
40
Cost
73.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301108743MIMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Multispecialty Associates, LLC CurrentSince Jul 24, 2023 Accepting new patients
Coastal Carolina Multispecialty Assocs, LLC Past Accepting new patients
Trident Medical Center, LLC Past Accepting new patients

Locations

295A Midland Pkwy
Ste 140
Summerville, SC 29485
Phone (843) 695-2727

120 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-1421

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: susan.knoche@hca5.eclinicaldirectplus.com

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1306013321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295A MIDLAND PKWY STE 140",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855901",
            "telephone_number": "843-695-2727",
            "fax_number": "843-695-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295A MIDLAND PKWY STE 140",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855901",
            "telephone_number": "843-695-2727",
            "fax_number": "843-695-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Elliott Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "48197",
            "country_code": "US",
            "telephone_number": "734-712-8150",
            "fax_number": "734-712-8151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5325 Elliott Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "48197",
            "country_code": "US",
            "telephone_number": "734-712-8150",
            "fax_number": "734-712-8151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "874 Whipple Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294648900",
            "country_code": "US",
            "telephone_number": "469-893-6483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Long Point Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "29464",
            "country_code": "US",
            "telephone_number": "843-981-5007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOCHE",
        "first_name": "SUSAN",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "SC",
            "license": "82253",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "82253",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "4301108743",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301108743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GEORGE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.