Active NPI
Jimmy L Kontos, MD
- Interventional Cardiology Physician
- Myrtle Beach, SC
National Provider Identifier
1366461568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 31084
- Practice address
- 920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183 - Phone
- (843) 497-7772
- Fax
- (843) 848-7530
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 31084 | SC | Primary |
Addresses
Primary practice location
920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183
Mailing address
920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183
Phone (843) 497-7772
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2425 | Medicaid | SC | |
| 5900989 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JIMMY.KONTOS@hca5.eclinicaldirectplus.com |
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 Compare- Specialty
- Interventional Cardiology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7111
4237 River Hills Dr
Suite 150
Little River, SC 29566-6446
Phone (843) 281-2778
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 848-1440
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 158 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Strand Surgical Specialists, LLC | Current | Accepting new patients | |
| Coastal Carolina Primary Care, LLC | Past | Accepting new patients |
Locations
4237 River Hills Dr
Ste 150
Little River, SC 29566
Phone (843) 281-2778
8210 Devon Ct
Myrtle Beach, SC 29572
Phone (843) 497-7772
920 Doug White Dr
Myrtle Beach, SC 29572
920 Doug White Dr
Ste 510
Myrtle Beach, SC 29572
Phone (843) 497-7772
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- jimmy.kontos@hca5.eclinicaldirectplus.com
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.
-
- Surgery Physician
- Myrtle Beach, SC
- NPI 1841465804
-
- Endocrinology, Diabetes & Metabolism Physician
- Myrtle Beach, SC
- NPI 1821257676
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1366461568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 510",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724183",
"telephone_number": "843-497-7772",
"fax_number": "843-848-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 510",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724183",
"telephone_number": "843-497-7772",
"fax_number": "843-848-7530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONTOS",
"first_name": "JIMMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2022-02-08",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "SC",
"license": "31084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA2425",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900989",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JIMMY.KONTOS@hca5.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "920 Doug White Dr Ste 510",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295724183",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.