Kalah Ainsworth, DO
Individual provider Active NPI Family Medicine Physician · Myrtle Beach, SC
NPI 1457739377 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1457739377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 83785 (SC)
- Practice address
- 6010 Highway 707
Ste 100
Myrtle Beach, SC 29588-7321 - Phone
- (843) 234-8939
- Fax
- (843) 234-8959
- NPI assigned
- May 12, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Conway Hospital Inc
Practice addresses (Care Compare)
8004 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 234-8939
Hospital & facility affiliations
- Conway Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 52.78 of 100
- Quality
- 55.48
- Improvement activities
- 0
- Cost
- 74.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180919003482 | WV | Practitioner - Family Practice | 4082916895 | Reassigns benefits to 1 organization |
| I20220315000503 | SC | Practitioner - Family Practice | 4082916895 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Hospital, Inc. | Current |
Accepting new patients | |
| University Healthcare Physicians Inc | Current |
Accepting new patients | |
| Conway Hospital, Inc. | Current |
Accepting new patients | |
| University Healthcare Physicians, Inc. | Family Medicine | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Conway Hospital, Inc. | Past | Accepting new patients | |
| Conway Hospital, Inc. | Family Medicine | Past | Accepting new patients |
Locations
1301 Creel St
Conway, SC 29527
Phone (843) 248-4414
394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050
8004 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 234-8939
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
11899 Highway 707
Unit A8
Murrells Inlet, SC 29576
Phone (843) 651-0791
631 Bellamy Ave
Unit A
Murrells Inlet, SC 29576
Phone (843) 299-1451
171 Taylor St
Harpers Ferry, WV 25425
Phone (304) 535-6343
61 Campus Dr
Ste 200
Martinsburg, WV 25404
Phone (304) 274-6343
61 Campus Dr
Ste 106
Martinsburg, WV 25404
Phone (304) 274-2273
2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202
2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 83785 | SC | Yes |
Addresses
Primary practice location
6010 Highway 707
Ste 100
Myrtle Beach, SC 29588-7321
Mailing address
300 Singleton Ridge Rd
Attention PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946
Other practice location 1
1301 Creel St
Conway, SC 29527-5018
Phone (843) 248-4414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 837857 | Medicaid | SC |
Other providers in Myrtle Beach, SC
- Rishabh Agrawal
- Victor Jose Aguin Melendez
- Jessica Dawn Aguirre
- Destiny Aiken
- Jill Aiken
- Dalal A Akoury
- Michael Alessi
- Ashley Cannon Alexander
- Patsy Gardner Alexander
- Sandra Alexander
All providers in Myrtle Beach, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.