Heather Vincent
WATERWAY PRIMARY CARE LLC


Address: 4237 River Hills Dr, Suite 150, Little River, SC 29566-6446
Phone: 8432812778

Heather Vincent (NPI# 1043317365, PAC ID# 9739114646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1043317365
PAC ID by PECOS 9739114646
Professional Enrollment ID I20170221002071
Full Name Heather Vincent
Organization Legal Name WATERWAY PRIMARY CARE LLC
Address 4237 River Hills Dr
Suite 150
Little River
SC 29566-6446
Phone Number 8432812778
Gender F
Credential PA
Graduation Year 2001
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 4789807231
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420105 MCLEOD LORIS HOSPITAL
420085 GRAND STRAND REGIONAL MEDICAL CENTER
340158 NOVANT HEALTH BRUNSWICK MEDICAL CENTER

Other Locations

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
4237 River Hills Dr, Suite 150, Little River, SC 29566-6446 8432812778 WATERWAY PRIMARY CARE LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

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 Information

Organization Legal Name WATERWAY PRIMARY CARE LLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Shea Beloff Physician Assistant Waterway Primary Care LLC 10081 Beach Swdr, Calabash, NC 28467-2713
Chris Boggs Family Medicine Waterway Primary Care 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

Office Location

Street Address 4237 RIVER HILLS DR
SUITE 150
City LITTLE RIVER
State SC
Zip 29566-6446

Physicians in the same location

Name Specialty Organization Address
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
Vanessa Nichole Albury Nurse Practitioner Elite Pain Management LLC 4237 River Hills Dr, Suite 170, Little River, SC 29566-6446
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

Physicians in the same zip code

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
Christopher Shumate Chiropractic 4207 Sea Mountain Hwy B, Little River, SC 29566-6843
Robert A Prinzi Ophthalmology Coastal Eye Group, P.C. 90 Cedar Light Ln, Little River, SC 29566-6978
Jennifer H Merritt Ophthalmology Coastal Eye Group, P.C. 90 Cedar Light Ln, Little River, SC 29566-6978
Gail M Royal Ophthalmology Coastal Eye Group, P.C. 90 Cedar Light Ln, Little River, SC 29566-6978
Alex Gregory Mcgaughy Ophthalmology Coastal Eye Group, P.C. 90 Cedar Light Ln, Little River, SC 29566-6978
Catherine Rozario Family Medicine 287 Hwy 90 E, Unit 6, Little River, SC 29566-7214
Michael R Cole Chiropractic 119 Pinnacle Pl B, Little River, SC 29566-7218
Saria Rose Almo Physician Assistant Strand Physician Specialists Pa 3361 Hwy 9 E, Little River, SC 29566-7826
Find all physicians in zip 29566

Competitor

Search similar physicians

City LITTLE RIVER
Zip Code 29566
Specialty PHYSICIAN ASSISTANT
City + Specialty LITTLE RIVER + PHYSICIAN ASSISTANT

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Dataset Information

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.

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