Timothy Montague-Smith

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3545 Highway 17 Unit 200
Murrells Inlet, SC 29576-5113

Phone

(843) 294-1941

NPI assigned

Jan 26, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthosc LLCGroup PAC ID 8022370030, 113 clinicians

Southern Urgent Care Murrells Inlet LLCGroup PAC ID 2961641105, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
• Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
• Direct secure messaging: timothy.montague-smith.1@17161.direct.athenahealth.com
• Direct secure messaging: tmontagueshea447947@direct.musc.edu

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.

• Orthosc, LLC

  • Orthopaedic Surgery Physician
  • Murrells Inlet, SC
  • NPI 1861902728
  Medicare reassignment Care Compare group NPD
• Southern Urgent Care Murrell'S Inlet LLC

  • Urgent Care Clinic/Center
  • Murrells Inlet, SC
  • NPI 1235474727
  Medicare reassignment Care Compare group
• Conway Hospital Emergency Professional Services

  • Emergency Medicine Physician
  • Conway, SC
  • NPI 1487844510
  Medicare reassignment
• Southern Comprehensive and Behavioral Health Associates LLC

  • Family Medicine Physician
  • Murrells Inlet, SC
  • NPI 1730602285
  Medicare reassignment
• Orthosc, LLC

  • Orthopaedic Surgery Physician
  • Conway, SC
  • NPI 1275369787
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Georgetown Memorial Hospital

  • Skilled Nursing Facility
  • Georgetown, SC
  • NPI 1881307056

  Hospital

  Care Compare affiliation
• Georgetown Memorial Hospital

  • General Acute Care Hospital
  • Georgetown, SC
  • NPI 1982604021
  Care Compare affiliation
• Waccamaw Community Hospital

  • General Acute Care Hospital
  • Murrells Inlet, SC
  • NPI 1972503910
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1790923910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 VILLAGE CENTER BLVD STE 140",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796706",
            "telephone_number": "843-353-3460",
            "fax_number": "843-353-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 HIGHWAY 17 UNIT 200",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765113",
            "telephone_number": "843-294-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE-SMITH",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376241",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3337",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Patrick Milling, RPH
• Angela Marie Mislowsky, MD
• Wahid Mistikawi, D.M.D. P.C.
• Mobilityworks, LLC
• Lauren Momper, PHARMD
• James Claffy Montgomery Jr., M.D.
• Melissa Jo Moore, M.D.
• Motorvate Kids OT
• Debra Ann Moynihan, APN-C
• Jacquelin Mueller

• Physician Assistant in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.