Kimberlie Marie Hitchcock, GRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Myrtle Beach, SC
NPI 1992034367 · NPPES record last updated Dec 31, 2009
Key facts
- NPI
- 1992034367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4085 (SC)
- Practice address
- 809 82ND Pkwy
Myrtle Beach, SC 29572-4607 - Phone
- (843) 692-1062
- NPI assigned
- Dec 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLeod Physician Associates II
Practice addresses (Care Compare)
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-7000
Hospital & facility affiliations
- McLeod Loris Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100212000044 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7012050107 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current |
Accepting new patients | |
| McLeod Medical Center-Dillon | Current |
Accepting new patients | |
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| McLeod Medical Center-Dillon | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Coastal Anesthesia Medical Group, LLC | Past | Accepting new patients | |
| Ambulatory Care Anesthesia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Beach Anesthesia, LLC | Past | Accepting new patients |
Locations
301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4085 | SC | Yes |
Addresses
Primary practice location
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Mailing address
PO Box 1792
Columbia, SC 29202-1792
Phone (843) 692-1062
Other names
- Miss Kimberlie Marie Chandler
Other providers in Myrtle Beach, SC
- Madison Olivia Hinde
- Katelynn Hine
- Morgan Nicole Hinson
- Patrick Shannon Hinson
- Shania Leigh Hinton
- Robert Derek Hitchcock
- Robert Jollie Hitchcock
- Julie Hite
- HJC Psychiatric Services LLC
- Sanna Michelle Ho-Gotshall
All providers in Myrtle Beach, SC · Certified Registered Nurse Anesthetist 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 Dec 31, 2009. 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.
- 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.