Stanley Irvin Coleman Jr., M.D.
Individual provider Active NPI Family Medicine Physician · Travelers Rest, SC
NPI 1649206459 · NPPES record last updated Oct 30, 2019
Key facts
- NPI
- 1649206459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 12431 (SC)
- Practice address
- 9 McElhaney Rd
Travelers Rest, SC 29690-1734 - Phone
- (864) 834-3192
- Fax
- (864) 241-9234
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
9 McElhaney Rd
Travelers Rest, SC 29690-1734
Phone (864) 834-3192
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.33 of 100
- Quality
- 75.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.29
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20040913000710 | SC | Practitioner - Family Practice | 3476520149 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Family Medicine | Current |
Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
9 McElhaney Rd
Travelers Rst, SC 29690
Phone (864) 834-3192
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12431 | SC | Yes |
Addresses
Primary practice location
9 McElhaney Rd
Travelers Rest, SC 29690-1734
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Other providers in Travelers Rest, SC
- Lili Chen
- Chestnut Hill Mental Health Center Inc
- Chestnut Hill Mental Health Center, Inc
- Chestnut Hill Mental Health Center, Inc
- Chestnut Hill Mental Health Center, Inc.
- Deanna J Cotter
- John P Cotter
- Creative Clinical Solutions, LLC
- Taylor Anne Crumpton
- Heather Leigh Cullen
All providers in Travelers Rest, 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 Oct 30, 2019. 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.