Active NPI
Richard Wayne Kemmerlin, MD
- Family Medicine Physician
- Greenville, SC
National Provider Identifier
1346397486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8349
- Practice address
- 1817 Woodruff Rd
Greenville, SC 29607 - Phone
- (864) 234-7000
- Fax
- (864) 234-4719
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Greenville, SC
- NPI 1922080787
SC
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Columbia, SC
- NPI 1033533344
-
- Home Health Agency
- Rock Hill, SC
- NPI 1295260339
-
- Home Health Agency
- Greenville, SC
- NPI 1689199481
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
- Pruitthealth Home Health-Columbia
- St Francis-Downtown
- Prisma Health Patewood Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.74 of 100
- Quality
- 83.33
- Improvement activities
- 40
- Cost
- 51.35
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 28 |
| Removal or shaving of skin growth | 1-10 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120430000428 | SC | Practitioner - Family Practice | 2062585607 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Kendall and Kemmerlin PA | Current | Accepting new patients | |
| Reliant Geriatrics, Inc. | Current | Accepting new patients |
Locations
850 E Butler Rd
Greenville, SC 29607
Phone (864) 306-0966
1817 Woodruff Rd
Greenville, SC 29607
Phone (864) 234-7000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8349 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1817 Woodruff Rd
Greenville, SC 29607
Mailing address
1817 Woodruff Rd
Greenville, SC 29607
Phone (864) 234-7000
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083493 | Medicaid | SC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083493",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.