NPIMap

Individual provider Active NPI

Jennifer Ruth Cranny, MD

  • Diagnostic Radiology Physician
  • Winston Salem, NC
National Provider Identifier
1942219746
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME28314 Issued in SC
Practice address
3010 Trenwest Dr Ste 200
Winston Salem, NC 27103-3208
Phone
(336) 970-5300
Fax
(336) 970-5298
NPI assigned
Aug 8, 2006
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X ME28314 SC
Nuclear Radiology Physician 2085N0904X ME28314 SC
Pediatric Radiology Physician 2085P0229X ME28314 SC
Diagnostic Radiology Physician 2085R0202X ME28314 SC Primary
Vascular & Interventional Radiology Physician 2085R0204X ME28314 SC
Diagnostic Ultrasound Physician 2085U0001X ME28314 SC

Addresses

Primary practice location

3010 Trenwest Dr Ste 200
Winston Salem, NC 27103-3208

Mailing address

PO Box 118008
N Charleston, SC 29423-8008
Phone (843) 407-0551

Other practice location 1

1101 Old Trolley Rd
Ste 200
Summerville, SC 29485-5293
Phone (843) 407-0551

Other identifiers 1

IdentifierTypeStateIssuer
283142MedicaidSC

Other names 1

  • Jennifer R Newcomb Other name

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
I20050825000176 SC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7012947641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (747) 293-9005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME28314SCMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Nov 20, 2023 Accepting new patients
Anderson Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Nov 24, 2022 Accepting new patients
Park West Radiology, PC Body Imaging PastSince Jul 1, 2008 Accepting new patients
Sheridan Radiology Services of West Florida, Inc. Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Triad Radiology Associates, PLLC Vascular & Interventional Radiology Past Accepting new patients
FSH Radiology Inc Pediatric Radiology Past Accepting new patients
Charleston Radiologists PA Diagnostic Radiology Past Accepting new patients
Pelican II, LLC Body Imaging Past Accepting new patients

Locations

3480 Preston Ridge Rd
Ste 600
Alpharetta, GA 30005

2110 Highway 81 N
Anderson, SC 29621
Phone (864) 225-6286

1 Cannon Dr
Greenville, SC 29605
Phone (336) 970-5318

1 Marcus Dr
Ste 100
Greenville, SC 29615
Phone (864) 751-2051

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

104 Innovation Dr
Greenville, SC 29607
Phone (864) 255-1000

1050 Grove Rd
Greenville, SC 29605
Phone (864) 242-5020

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

131 Commonwealth Dr
Ste 220
Greenville, SC 29615
Phone (864) 213-9927

2 Innovation Dr
Greenville, SC 29607
Phone (864) 400-3600

35 International Dr
Greenville, SC 29615
Phone (864) 242-5020

5 S Lewis Plz
Greenville, SC 29605
Phone (864) 242-4122

309 W Butler Rd
Mauldin, SC 29662
Phone (864) 295-2131

3970 Grandview Dr
Ste 1400
Simpsonville, SC 29680
Phone (864) 234-9900

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1942219746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118008",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294238008",
            "telephone_number": "843-407-0551",
            "fax_number": "843-376-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 TRENWEST DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033208",
            "telephone_number": "336-970-5300",
            "fax_number": "336-970-5298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Old Trolley Rd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294855293",
            "country_code": "US",
            "telephone_number": "843-407-0551",
            "fax_number": "843-376-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANNY",
        "first_name": "JENNIFER",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "SC",
            "license": "ME28314",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "SC",
            "license": "ME28314",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "SC",
            "license": "ME28314",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "ME28314",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "ME28314",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "SC",
            "license": "ME28314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283142",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NEWCOMB",
            "middle_name": "R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.