Individual provider Active NPI

Christopher Andrew Kearney, R.P.A.C

  • Surgical Physician Assistant
  • Conway, SC
National Provider Identifier
1336327741
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1753 Issued in SC
Practice address
2376 Cypress Cir
Ste 300
Conway, SC 29526-8995
Phone
(631) 205-1643
Fax
(631) 205-1643
NPI assigned
Feb 7, 2008
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1753 SC
Surgical Physician Assistant 363AS0400X 1753 SC Primary

Addresses

Primary practice location

2376 Cypress Cir
Ste 300
Conway, SC 29526-8995

Mailing address

2376 Cypress Cir Ste 300
Conway, SC 29526-8995

Other practice location 1

2246 Highway 17
Little River, SC 29566-9235
Phone (843) 663-2220

Other practice location 2

3620 Walton Dr Unit C5&C6
Myrtle Beach, SC 29577-6781
Phone (843) 353-3460

Other identifiers 1

IdentifierTypeStateIssuer
1928PAMedicaidSC

Other names 1

  • Mr. C A Kearney Other 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000039 SC Practitioner - Physician Assistant 9133287378 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosc LLCGroup PAC ID 8022370030, 113 clinicians

Practice addresses (Care Compare)

1621 Hwy 17 N
North Myrtle Beach, SC 29582-2229
Phone (843) 353-3460

210 Village Ctr Blvd
Myrtle Beach, SC 29579-6706

2376 Cypress Cir
Suite 300
Conway, SC 29526-8995
Phone (843) 353-3460

3545 Hwy 17
Unit 200
Murrells Inlet, SC 29576-5113
Phone (843) 353-3460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosc, LLC CurrentSince Apr 1, 2018 Accepting new patients
Orthosc, LLC CurrentSince Apr 1, 2018 Accepting new patients
Emergency Medicine Physicians of Suffolk County, PLLC Past Accepting new patients

Locations

2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222

210 Village Center Blvd
Ste 140
Myrtle Beach, SC 29579
Phone (843) 333-8385

210 Village Center Blvd
Ste 200
Myrtle Beach, SC 29579
Phone (843) 236-3222

3620 Walton Dr
Unit C5
Myrtle Beach, SC 29577

1621 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 335-3346

Interoperability endpoints

  • Direct secure messaging: christopher.kearney.1@17161.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 3

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": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1336327741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIR STE 300",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIR",
            "address_2": "STE 300",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268995",
            "telephone_number": "631-205-1643",
            "fax_number": "631-205-1643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2246 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "295669235",
            "country_code": "US",
            "telephone_number": "843-663-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Walton Dr Unit C5&C6",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295776781",
            "country_code": "US",
            "telephone_number": "843-353-3460",
            "fax_number": "843-353-3461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "R.P.A.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1753",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "1753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1928PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "KEARNEY",
            "middle_name": "A",
            "prefix": "MR.",
            "credential": "R.P.A.C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.