| Larry W Kelly, MD | |
|
64 Business Center Dr, Pawleys Island, SC 29585-7963 | |
| (843) 314-1314 | |
| (843) 314-1307 |
| Full Name | Larry W Kelly |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 32 Years |
| Location | 64 Business Center Dr, Pawleys Island, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194727628 | NPI | - | NPPES |
| T47633 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20643 (South Carolina) | Secondary |
| 208000000X | Pediatrics | 20643 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Georgetown | Georgetown, SC | Home health agency |
| Musc Health At Home By Bayada-conway | Conway, SC | Home health agency |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgetown Physician Associates, Llc | 2365697398 | 197 |
| Georgetown Memorial Hospital | 8224942123 | 78 |
| Waccamaw Community Hospital | 9133036932 | 62 |
| Entity Name | Georgetown Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982604021 PECOS PAC ID: 8224942123 Enrollment ID: O20031114000600 |
| Entity Name | Waccamaw Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972503910 PECOS PAC ID: 9133036932 Enrollment ID: O20031126000386 |
| Entity Name | Georgetown Internists And Pediatricians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134296700 PECOS PAC ID: 6800860099 Enrollment ID: O20040824000167 |
| Entity Name | Georgetown Physician Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235475930 PECOS PAC ID: 2365697398 Enrollment ID: O20130225000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry W Kelly, MD Po Box 421718, Georgetown, SC 29442-4203 Ph: (843) 527-7000 | Larry W Kelly, MD 64 Business Center Dr, Pawleys Island, SC 29585-7963 Ph: (843) 314-1314 |
Susan Walden-cohn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Alston Rd, Pawleys Island, SC 29585 Phone: 843-237-5398 Fax: 843-237-3561 | |
Scott A Nicol, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 64 Business Center Dr, Pawleys Island, SC 29585 Phone: 843-314-1314 Fax: 843-314-1307 | |
Michael Ratz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 64 Business Center Dr, Pawleys Island, SC 29585 Phone: 843-314-1314 Fax: 843-314-1307 |