NPIMap

Individual provider Active NPI

Richard Wayne Kemmerlin, MD

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1346397486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8349 Issued in SC
Practice address
1817 Woodruff Rd
Greenville, SC 29607
Phone
(864) 234-7000
Fax
(864) 234-4719
NPI assigned
Jan 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8349 SC Primary

Addresses

Primary practice location

1817 Woodruff Rd
Greenville, SC 29607

Mailing address

1817 Woodruff Rd
Greenville, SC 29607
Phone (864) 234-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000428 SC Practitioner - Family Practice 2062585607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1817 Woodruff Rd
Greenville, SC 29607-5936
Phone (864) 234-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
51.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions28
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Kendall and Kemmerlin PA CurrentSince Dec 21, 1996 Accepting new patients
Reliant Geriatrics, Inc. CurrentSince May 21, 2014 Accepting new patients

Locations

1817 Woodruff Rd
Greenville, SC 29607
Phone (864) 234-7000

850 E Butler Rd
Greenville, SC 29607
Phone (864) 306-0966

Organizations & group practices 2

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346397486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-234-7000",
            "fax_number": "864-234-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-234-7000",
            "fax_number": "864-234-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMERLIN",
        "first_name": "RICHARD",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "8349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.