NPIMap

Individual provider Active NPI

Kimberly Anne Monnell, DO

  • Neurology Physician
  • Little River, SC
National Provider Identifier
1720092166
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
300649 Issued in LA
Practice address
3980 Hwy. 9 East
Ste 340
Little River, SC 29566-8165
Phone
(843) 390-8310
Fax
(843) 390-8319
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 1549 SC
Neurology Physician 2084N0400X 02004748A IN
Neurology Physician 2084N0400X 300649 LA Primary

Addresses

Primary practice location

3980 Hwy. 9 East
Ste 340
Little River, SC 29566-8165

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7162

Other identifiers 4

IdentifierTypeStateIssuer
201329690MedicaidIN
2409344MedicaidLA
000000971239OtherINANTHEM
03688231MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000149 SC Practitioner - Neurology 6002880986 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Medical Center-DillonGroup PAC ID 3476465311, 13 clinicians
McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians

Practice addresses (Care Compare)

301 E Jackson St
Dillon, SC 29536-2509
Phone (843) 774-1571

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • McLeod Health Cheraw Hospital, Cheraw, SC, CCN 420107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300649LAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Medical Center-Dillon CurrentSince Feb 27, 2021 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Feb 27, 2021 Accepting new patients
McLeod Health Cheraw CurrentSince Feb 24, 2022 Accepting new patients
McLeod Health Cheraw CurrentSince Feb 24, 2022 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jul 7, 2022 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Neurology CurrentSince Aug 16, 2016 Accepting new patients
Prisma Health University Medical Group CurrentSince Mar 21, 2016 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jul 7, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Aug 16, 2016 Accepting new patients
Orlando Maldonado, MD, PA Neurology Past Accepting new patients
Care Neurology, PA Neurology Past Accepting new patients

Locations

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

325 Medical Pkwy
Ste 200D
Greer, SC 29650
Phone (864) 797-9071

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1720092166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7162",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HWY. 9 EAST",
            "address_2": "STE 340",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668165",
            "telephone_number": "843-390-8310",
            "fax_number": "843-390-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONNELL",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "1549",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "02004748A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "300649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201329690",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2409344",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000971239",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03688231",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.