Chris Boggs (NPI# 1326068362, PAC ID# 4082674015) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1326068362 |
| PAC ID by PECOS | 4082674015 |
| Professional Enrollment ID | I20041014000457 |
| Full Name | Chris Boggs |
| Organization Legal Name | WATERWAY PRIMARY CARE LLC |
| Address |
3600 Sea Mountain Hwy Little River SC 29566-8161 |
| Phone Number | 8433994848 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4789807231 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420105 | MCLEOD LORIS HOSPITAL |
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| 340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10081 Beach Swdr, Calabash, NC 28467-2713 | 9105797971 | WATERWAY PRIMARY CARE LLC |
| 3600 Sea Mountain Hwy, Little River, SC 29566-8161 | 8433994848 | WATERWAY PRIMARY CARE LLC |
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8436921000 | WATERWAY PRIMARY CARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | WATERWAY PRIMARY CARE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Vincent | Physician Assistant | Waterway Primary Care LLC | 4237 River Hills Dr, Suite 150, Little River, SC 29566-6446 |
| Shea Beloff | Physician Assistant | Waterway Primary Care LLC | 10081 Beach Swdr, Calabash, NC 28467-2713 |
| Eston Ernest Williams | Family Practice | Waterway Primary Care LLC | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 |
| Street Address |
3600 SEA MOUNTAIN HWY |
| City | LITTLE RIVER |
| State | SC |
| Zip | 29566-8161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neal D Shore | Urology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Robert M Jansen | Urology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Michelle Wirt | Physician Assistant | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Carl J Szczesniak | Pathology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Kenneth E Krzyzaniak | Urology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Leslie B Oleszkowicz | Nurse Practitioner | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Amanda Lewis Calhoun | Nurse Practitioner | Southern Surgical Group LLC | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 |
| Eston Ernest Williams | Family Practice | Waterway Primary Care LLC | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry J Kopelman | Physical Therapy | David L. Haught, Pa | 304 Hwy 90 E C1, Little River, SC 29566 |
| David Laif Haught | Physical Therapy | David L. Haught, Pa | 304 Hwy 90 E C1, Little River, SC 29566 |
| Carla N Antolak | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Genevieve Badaoui | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Denise Charnea Lovorn | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Jennifer Elayne Bruer-vandeweert | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Garrett Fitzgibbons | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 |
| William J Earley | Family Practice | Elite Pain Management LLC | 4237 River Hills Dr, Little River, SC 29566-6444 |
| Matthew Davis | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 |
| Heather Vincent | Physician Assistant | Waterway Primary Care LLC | 4237 River Hills Dr, Suite 150, Little River, SC 29566-6446 |
| Find all physicians in zip 29566 | |||
| City | LITTLE RIVER |
| Zip Code | 29566 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LITTLE RIVER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Chris Boggs.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.