Individual provider Active NPI

Gregory Michael Haidemenos, MD

  • Hematology & Oncology Physician
  • Hilton Head Island, SC
National Provider Identifier
1689080129
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD51996 Issued in SC
Practice address
45 Hospital Center CMNS
Hilton Head Island, SC 29926-2837
Phone
(843) 689-2895
Fax
(843) 689-9270
NPI assigned
Jul 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD51996 SC Primary

Addresses

Primary practice location

45 Hospital Center CMNS
Hilton Head Island, SC 29926-2837

Mailing address

45 Hospital Center CMNS
Hilton Head Island, SC 29926-2837
Phone (843) 689-2895

Other practice location 1

100 Buckwalter Place Blvd Ste 130
Bluffton, SC 29910-5023
Phone (843) 836-7101

Other names 1

  • Dr. Gregory Michael Haidemenos Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210715000447 SC Practitioner - Hematology/Oncology 8729393632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Cancer Specialist, P.a.Group PAC ID 9032007760, 10 clinicians

Practice addresses (Care Compare)

100 Buckwalter Place Blvd
Suite 130
Bluffton, SC 29910-5154
Phone (843) 836-7100

Hospital & facility affiliations

  • Amedisys Home Health of Bluffton Home health agency, Bluffton, SC, CCN 427048
  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

Merit-based Incentive Payment System (MIPS)

Final score
82.05 of 100Reported as group
Quality
76.86
Improvement activities
40
Cost
71.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD51996SCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Cancer Specialist, P.a. Hematology & Oncology CurrentSince Jul 1, 2021 Accepting new patients
South Carolina Cancer Specialist, P.a. Hematology & Oncology CurrentSince Jul 1, 2021 Accepting new patients
South Carolina Cancer Specialist, P.a. Hematology & Oncology Past Accepting new patients

Locations

100 Buckwalter Place Blvd
Ste 130
Bluffton, SC 29910
Phone (843) 836-7100

45 Hospital Center Cmns
Hilton Head Island, SC 29926
Phone (843) 689-2895

25 Hospital Ctr
Ste 301
Hilton Head Island, SC 29926
Phone (843) 689-2895

45 Hospital Center Cmns
Ste 200
Hilton Head Island, SC 29926
Phone (843) 689-2895

Organizations & group practices 3

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 6

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": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1689080129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HOSPITAL CENTER CMNS",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262837",
            "telephone_number": "843-689-2895",
            "fax_number": "843-689-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HOSPITAL CENTER CMNS",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262837",
            "telephone_number": "843-689-2895",
            "fax_number": "843-689-9270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Buckwalter Place Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299105023",
            "country_code": "US",
            "telephone_number": "843-836-7101",
            "fax_number": "843-836-7112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIDEMENOS",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-04",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "MD51996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "HAIDEMENOS",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.