Raymond Keels Allen Jr., M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Conway, SC
NPI 1679700504 · NPPES record last updated Jul 31, 2019
Key facts
- NPI
- 1679700504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- LL31890 (SC)
- Practice address
- 300 Singleton Ridge Rd
Conway, SC 29526-9142 - Phone
- (843) 347-7144
- Fax
- (843) 347-7331
- NPI assigned
- Jun 18, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Medical University of South Carolina College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Musc Community Physicians
Practice addresses (Care Compare)
506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290
606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 792-1414
Hospital & facility affiliations
- Tidelands Waccamaw Community Hospital
- Tidelands Georgetown Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20140904001357 | SC | Practitioner - Pathology | 4587882543 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL31890 | SC | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current |
Accepting new patients | |
| Musc Community Physicians | Current |
Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | LL31890 | SC | Yes |
Addresses
Primary practice location
300 Singleton Ridge Rd
Conway, SC 29526-9142
Mailing address
PO Box 1599
Clinical Pathology Consultants, PA
Conway, SC 29528-1599
Phone (843) 347-7144
Other practice location 1
606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7171
Other names
- R. Keels Allen
Other providers in Conway, SC
- Sarah Alderman
- Alyssa Rose Alfano
- Barbara M Alford
- Siena Shields Alford
- All About You Home Care, Inc.
- Cornelius L Alston
- Tawan Binnetta Alston
- Lauren Claire Alvey
- Samuel Amankwah
- Amedco South Carolina LLC
All providers in Conway, SC · Anatomic Pathology & Clinical Pathology 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 Jul 31, 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.