Active NPI
Mary Elizabeth Ross, M.D.
- Internal Medicine Physician
- Pawleys Island, SC
National Provider Identifier
1346446499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD 33952
- Practice address
- 64 Business Center Dr
Pawleys Island, SC 29585-7963 - Phone
- (843) 313-1314
- Fax
- (843) 314-1308
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD 33952 | SC | Primary |
| Pediatrics Physician | 208000000X | MD 33952 | SC |
Addresses
Primary practice location
64 Business Center Dr
Pawleys Island, SC 29585-7963
Mailing address
217 Harbourreef Dr
Pawleys Island, SC 29585-5799
Phone (843) 314-9018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3598 | Medicaid | SC |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.46 of 100
- Quality
- 47.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.55 of 100
- Quality
- 85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 33952 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Waccamaw Community Hospital | Current | Accepting new patients | |
| Georgetown Internists and Pediatricians Inc | Pediatrics | Current | Accepting new patients |
Locations
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100
64 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-1305
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Pawleys Island, SC
- NPI 1134296700
-
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
-
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1346446499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 HARBOURREEF DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295855799",
"telephone_number": "843-314-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 BUSINESS CENTER DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295857963",
"telephone_number": "843-313-1314",
"fax_number": "843-314-1308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "MD 33952",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "MD 33952",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3598",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.