John Jay Elms (NPI# 1770658494, PAC ID# 9436189743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1770658494 |
| PAC ID by PECOS | 9436189743 |
| Professional Enrollment ID | I20101120000178 |
| Full Name | John Jay Elms |
| Organization Legal Name | COASTAL KIDNEY CENTER PA |
| Address |
834 Farrar Dr Conway SC 29526-8747 |
| Phone Number | 8433479487 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1971 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 3173553484 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420105 | MCLEOD LORIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 834 Farrar Dr, Conway, SC 29526-8747 | 8433479487 | COASTAL KIDNEY CENTER PA |
| 98 Stone Chimney Serd, Supply, NC 28462-3374 | 9107543280 | COASTAL KIDNEY CENTER PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 90% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 58% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 4% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 48% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% |
| Organization Legal Name | COASTAL KIDNEY CENTER PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryam Gondal | Nephrology | Coastal Kidney Center Pa | 834 Farrar Dr, Conway, SC 29526-8747 |
| Youness Hussein | Nephrology | Coastal Kidney Center Pa | 834 Farrar Dr, Conway, SC 29526-8747 |
| Rachel A Gasque | Nurse Practitioner | Coastal Kidney Center Pa | 834 Farrar Dr, Conway, SC 29526-8747 |
| Sivanthan Balachandran | Nephrology | Coastal Kidney Center Pa | 834 Farrar Dr, Conway, SC 29526-8747 |
| Donna P Evans | Nurse Practitioner | Coastal Kidney Center Pa | 834 Farrar Dr, Conway, SC 29526-8747 |
| Street Address |
834 FARRAR DR |
| City | CONWAY |
| State | SC |
| Zip | 29526-8747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryam Gondal | Nephrology | Coastal Kidney Center Pa | 834 Farrar Dr, Conway, SC 29526-8747 |
| Youness Hussein | Nephrology | Coastal Kidney Center Pa | 834 Farrar Dr, Conway, SC 29526-8747 |
| Rachel A Gasque | Nurse Practitioner | Coastal Kidney Center Pa | 834 Farrar Dr, Conway, SC 29526-8747 |
| Sivanthan Balachandran | Nephrology | Coastal Kidney Center Pa | 834 Farrar Dr, Conway, SC 29526-8747 |
| Donna P Evans | Nurse Practitioner | Coastal Kidney Center Pa | 834 Farrar Dr, Conway, SC 29526-8747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
| William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
| Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
| James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Find all physicians in zip 29526 | |||
| City | CONWAY |
| Zip Code | 29526 |
| Specialty | NEPHROLOGY |
| City + Specialty | CONWAY + NEPHROLOGY |
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| 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.