C Gregory Kang MD PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

19925 Issued in SC

Legal business name

C GREGORY KANG MD PA

Doing business as

Pain, Spine and Sports Medicine

Practice address

3029 Newcastle Loop
Myrtle Beach, SC 29588

Phone

(843) 215-8868

Fax

(843) 215-9555

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

C Gregory Kang, M.D.NPI 1275560419

Title

Owner

Phone

(843) 215-8868

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pain, Spine and Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• C Gregory Kang, MD

  • Physical Medicine & Rehabilitation Physician
  • Myrtle Beach, SC
  • NPI 1275560419
  Medicare reassignment Authorized official
• Brian Loskill, P.A.

  • Medical Physician Assistant
  • Myrtle Beach, SC
  • NPI 1598764037
  Medicare reassignment
• Henk F Degraaf, DC

  • Chiropractor
  • Thomson, GA
  • NPI 1710917570
  NPD (past)
• Steven R. Gordon, PT

  • Physical Therapist
  • Ocala, FL
  • NPI 1639101538
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1619174687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295760811",
            "telephone_number": "843-215-8868",
            "fax_number": "843-215-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 NEWCASTLE LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-215-8868",
            "fax_number": "843-215-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C GREGORY KANG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-215-8868",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "19925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3898",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain, Spine and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summer H Butler
• Tiffany Stiebel Butler, D.C.
• Chad Byrd
• Mary E Byrd, DNP, FNP-BC
• Michael Byrnes Jr., MD
• Anthony John Caeton, MD
• Heather Suzannah Cahoy, PA
• Kara Matthews Cain, APRN
• Meghan Elizabeth Caison, OTR
• Scott D Calderwood, MA, LPC/A

• Physical Medicine & Rehabilitation Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.