Kenneth M Faile Jr., MD
Individual provider Active NPI Family Medicine Physician · Johnsonville, SC
NPI 1750354858 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1750354858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 19643 (SC)
- Practice address
- 355 S. Georgetown Hwy
Johnsonville, SC 29555 - Phone
- (843) 380-2000
- Fax
- (843) 380-2014
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLeod Physician Associates II
Practice addresses (Care Compare)
2437 Willwood Dr
Florence, SC 29501-3904
Phone (843) 777-3100
3013 A W Palmetto St
Florence, SC 29501-5935
3015 W Palmetto St
Florence, SC 29501-5935
Phone (843) 777-6870
800 E Cheves St
Florence, SC 29506-2650
800 E Cheves St
Florence, SC 29506-2652
964 Lochend Dr
Darlington, SC 29532-5698
Phone (843) 777-6890
Hospital & facility affiliations
- Amedisys Home Health Care
- McLeod Home Health Inc
- Pruitthealth Home Health-Florence
- Centerwell Home Health-Pee Dee
- Amedisys Home Health of Conway
- McLeod Regional Medical Center-Pee Dee
- Musc Health Florence Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
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 |
|---|---|---|---|---|
| I20061218000428 | SC | Practitioner - Family Practice | 0244239366 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Clarendon | Family Medicine | Current |
Accepting new patients |
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Physician Associates II | Family Medicine | Current | Accepting new patients |
| McLeod Health Clarendon | Family Medicine | Current |
Accepting new patients |
| McLeod Physician Associates II | Family Medicine | Past | Accepting new patients |
Locations
2437 Willwood Dr
Florence, SC 29501
Phone (843) 777-3000
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
355 S Georgetown Hwy
Johnsonville, SC 29555
Phone (843) 380-2000
10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000
Interoperability endpoints
- kfaile41144@directmcleodehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19643 | SC | Yes |
Addresses
Primary practice location
355 S. Georgetown Hwy
Johnsonville, SC 29555
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 380-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T35012 | Medicaid | SC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kenneth.faile@mpaii.eclinicaldirectplus.com | Direct |
Other providers in Johnsonville, SC
- Bio-Medical Applications of South Carolina, Inc.
- Carol a. Baker, DMD, PA
- Charles B. Maxwell, DMD, PA
- Cuddle Care Nursing Inc
- Michael Davis
- Florence County School District Five
- Florence County School District Five
- Florence County School District Five
- Florence School District # 5
- Florence School District Five
All providers in Johnsonville, 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 Feb 2, 2021. 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.