Individual provider Active NPI

Patrick George McMenamin, M.D.

  • Otolaryngology Physician
  • Aiken, SC
National Provider Identifier
1407922669
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
TL35136 Issued in SC
Practice address
170 University Pkwy
Aiken, SC 29801-6308
Phone
(706) 868-5676
Fax
(706) 722-2824
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X C042081 CA
Otolaryngology Physician 207Y00000X 62399 GA
Otolaryngology Physician 207Y00000X TL35136 SC Primary

Addresses

Primary practice location

170 University Pkwy
Aiken, SC 29801-6308

Mailing address

340 North Belair Road
Evans, GA 30809-3000
Phone (706) 868-5676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121025000459 SC Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 2062662117 Reassigns benefits to 1 organization
I20160330001176 GA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 2062662117

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of Maryland School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston ENT Associates, LLCGroup PAC ID 4082662234, 77 clinicians

Practice addresses (Care Compare)

2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 766-7103

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (843) 766-7103

Hospital & facility affiliations

  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C042081CAMDMedical Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta ENT PC Otolaryngology CurrentSince Jan 1, 2016 Accepting new patients
Charleston ENT Associates, LLC CurrentSince Jan 1, 2026 Accepting new patients
Augusta ENT PC CurrentSince Mar 1, 2016 Accepting new patients
Charleston ENT Associates, LLC Otolaryngology CurrentSince Jan 1, 2026 Accepting new patients

Locations

804 Scott Nixon Memorial Dr
#D
Augusta, GA 30907

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

720 Saint Sebastian Way
Ste 201
Augusta, GA 30901
Phone (478) 746-7577

340 N Belair Rd
Evans, GA 30809
Phone 7068685676650

410 University Pkwy
Ste 1400
Aiken, SC 29801
Phone (803) 644-4264

410 University Pkwy
Ste 2300
Aiken, SC 29801
Phone (803) 226-0745

170 University Pkwy
Aiken, SC 29801
Phone (803) 649-9975

1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600

2295 Henry Tecklenburg Dr
Charleston, SC 29414

Interoperability endpoints

  • Direct secure messaging: pmcmenamin@augustaent.emadirect.md

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1407922669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NORTH BELAIR ROAD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093000",
            "telephone_number": "706-868-5676",
            "fax_number": "706-722-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 UNIVERSITY PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016308",
            "telephone_number": "706-868-5676",
            "fax_number": "706-722-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMENAMIN",
        "first_name": "PATRICK",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C042081",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "62399",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "TL35136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.