Kenneth R Murphy III, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

SC 960 Issued in SC

Practice address

421 Epting Ave
Greenwood, SC 29646-4041

Phone

(864) 227-6818

Fax

(864) 227-0850

NPI assigned

Aug 19, 2005

Last updated

Dec 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC, NM2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hidalgo Medical ServicesGroup PAC ID 4587572250, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amercare Home Health Care Corporation Home health agency, Silver City, NM, CCN 327061
• Gila Regional Medical Center Hospital, Silver City, NM, CCN 321311

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Hidalgo Medical Services

  dba HMS

  • Federally Qualified Health Center (FQHC)
  • Lordsburg, NM
  • NPI 1306843180
  Medicare reassignment Care Compare group
• Self Medical Group

  • Surgery Physician
  • Greenwood, SC
  • NPI 1982836847
  Medicare reassignment
• Self Regional Healthcare Partners

  dba Edgefield County Healthcare, An Affiliate of Self Regional Healthcare

  • Critical Access Hospital
  • Edgefield, SC
  • NPI 1922582105
  Medicare reassignment
• Self Medical Group

  • Psychiatry Physician
  • Greenwood, SC
  • NPI 1205141371
  NPD
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  NPD
• Self Regional Healthcare Partners

  dba Edgefield Community Pharmacy

  • Community/Retail Pharmacy
  • Edgefield, SC
  • NPI 1073486494
  NPD
• Self Regional Healthcare Partners

  dba Self Medical Center Johnston

  • Family Medicine Physician
  • Johnston, SC
  • NPI 1942197835
  NPD
• Hidalgo Medical Services

  dba HMS Cobre Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Bayard, NM
  • NPI 1073506911
  NPD
• Hidalgo Medical Services

  dba Tu Casa

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1467971986
  NPD
• Self Medical Group

  dba Advanced Gastroenterology

  • Gastroenterology Physician
  • Greenwood, SC
  • NPI 1841047560
  NPD (past)
• Self Regional Healthcare

  dba SRH Diabetes Education

  • Diabetes Educator Registered Nurse
  • Greenwood, SC
  • NPI 1417582503
  NPD (past)
• Hidalgo Medical Services

  dba HMS Silver High School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1255324562
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ambercare Home Health Care Corporation

  • Home Health Agency
  • Silver City, NM
  • NPI 1447376066
  Care Compare affiliation
• Ambercare Home Health Care Corporation

  dba Ambercare Home Health

  • Home Health Agency
  • Las Cruces, NM
  • NPI 1609039833
  Care Compare affiliation
• Gila Regional Medical Center

  • Critical Access Hospital
  • Silver City, NM
  • NPI 1336220839
  Care Compare affiliation

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1346232980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 EPTING AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464041",
            "telephone_number": "864-227-6818",
            "fax_number": "864-227-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 EPTING AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464041",
            "telephone_number": "864-227-6818",
            "fax_number": "864-227-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "SC 960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmurphy127168@selfregional.direct-ci.net",
            "affiliation": "N",
            "address_1": "421 Epting Ave",
            "city": "Greenwood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296464041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wayne S Mounts, PAC
• Christine Adefuin Murakami, M.D.
• Gail C. Murph, MCD, CCC-SLP
• Dennis W Murphy, MD
• Kathy B. Murphy, RN
• Robert Bryan Murphy, M.D.
• Amanda Myers
• Leslie Mactaggart Myers, DNP, APRN, ANP-BC
• Staci Reeves Nalley, RN
• Kenneth Mack Nash, O D

• Medical Physician Assistant in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.