George T Deschamps Jr.
Radiology (Diagnostic Radiology)

Address: 606 Black River Rd, Georgetown, SC 29440-3304
Phone: 8432373378

George T Deschamps Jr. (NPI# 1780644823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1780644823
Entity Type Individual
Full Name George T Deschamps Jr.
Credential MD
Gender Male
Practice Address 606 Black River Rd
Georgetown
SC 29440-3304
Practice Telephone 8432373378
Practice Fax Number 8432375073
Mailing Address Po Box 2249
Pawleys Island
SC 29585-2249
Mailing Telephone 8432373378
Mailing Fax Number 8432375073
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-03-24
Last Update Date 2007-10-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 14900 SC

Other Provider Identifier

State Identifier Issuer Type Code
SC TL2143 MEDICAID

Physician Overview

NPI 1780644823
PAC ID by PECOS 8820172950
Professional Enrollment ID I20100610000536
Full Name George T Deschamps
Organization Legal Name GEORGETOWN RADIOLOGY
Phone Number 8435277441
Gender M
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 1985
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 1153405360
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420098 TIDELANDS WACCAMAW COMMUNITY HOSPITAL
420020 TIDELANDS HEALTH

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
PQRS_EP_145_1 Radiology: Exposure Time Reported for Procedures Using Fluoroscopy 85%

Office Location

Street Address 606 BLACK RIVER RD
City GEORGETOWN
State SC
Zip Code 29440-3304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952301731 Mary L Michael Nurse Anesthetist, Certified Registered 606 Black River Rd, Georgetown, SC 29440-3304 2005-07-22
1518489814 Pauline A Seebode Nurse Practitioner 606 Black River Rd, Georgetown, SC 29440-3304 2017-07-09
1104365857 Kristen Miller Nurse Anesthetist, Certified Registered 606 Black River Rd, Georgetown, SC 29440-3304 2017-02-14
1487198909 Stephanie May Dietitian, Registered 606 Black River Rd, Georgetown, SC 29440-3304 2016-12-19
1083096192 Adam Christopher Hughes Internal Medicine 606 Black River Rd, Georgetown, SC 29440 2015-06-25
1619364031 Agnes Edwards Social Worker 606 Black River Rd, Georgetown, SC 29440 2015-04-23
1700293081 Christopher Devault Specialist/Technologist 606 Black River Rd, Georgetown, SC 29440-3304 2014-07-17
1790070415 Lananh Nguyen Internal Medicine 606 Black River Rd, Georgetown, SC 29440-3304 2011-06-10
1255634069 Family Pharmacy At Gmh Pharmacy 606 Black River Rd, Georgetown, SC 29440-3304 2010-12-16
1427291939 Heather Elizabeth Jones Physical Therapy Assistant 606 Black River Rd, Georgetown, SC 29440-3304 2009-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003288788 Bartou Wilson Pharmacist 513 Rosemont St, Georgetown, SC 29440 2015-10-21
1538557780 Sc Pain and Spine Specialist Pain Medicine 230 S Fraser Street, Georgetown, SC 29440 2014-12-22
1326393745 Rose Carpenzano Social Worker 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 2012-07-23
1942575451 Surgical Specialists of Waccamaw, LLC Surgery 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 2012-03-16
1619296654 Lisa Marie Holmes Durable Medical Equipment & Medical Supplies 1263 N. Frazer St., Georgetown, SC 29440 2010-05-28
1104156892 Georgetown Anesthesia Consultants, PC Anesthesiology 606 Blackriver Road, Georgetown, SC 29440 2010-01-04
1306018999 Heather Denise Sharpe Pharmacist 810 Elizabeth Street, Georgetown, SC 29440 2008-03-24
1083882054 Advanced Chiropractic Center Chiropractor 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 2008-02-13
1295922284 Tidelands Health Pediatric Clinic/Center 2361 North Frasier Street, Georgetown, SC 29440 2007-10-03
1114110863 Thomas Clifford Rowland Jr. Obstetrics & Gynecology 74 Swan Point Trail, Georgetown, SC 29440 2007-08-24
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689165961 Georgetown Radiology Associates, Pllc. Radiology 113 Tanksley Cir, Georgetown, TX 78628-5320 2018-05-23
1467760975 John Martin Reed Radiology 100 Gatewood Drive, Georgetown, KY 40324 2010-09-17
1972720233 Georgetown Open Mri Center Radiology 104 Lawson Dr, Unit 100, Georgetown, KY 40324-8998 2007-04-19
1942397716 Patricia Ann Lowry Radiology 302 Davis Mountain Cir, Georgetown, TX 78633-5728 2006-10-05
1205860392 Kerry K Ford Radiology 510 E 15th St, Georgetown, TX 78626-6941 2006-07-11
1184816639 Julie A Farrell Md Inc Radiology 425 Home St, Georgetown, OH 45121-1407 2007-08-17
1831103845 Carter L Brown Radiology 606 Black River Rd, Georgetown, SC 29440-3304 2006-07-27
1407802309 Julie A Farrell Radiology 425 Home St, Georgetown, OH 45121-1407 2006-05-25
1538125018 Georgetown Radiology Radiology 606 Black River Rd, Georgetown, SC 29440-3304 2006-04-25
1013977156 Mary Ann Haden Radiology 606 Black River Rd, Georgetown, SC 29440-3304 2006-03-24
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Competitor

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City GEORGETOWN
Zip Code 29440

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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