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DR. KENNETH H. MINCEY MD
NPI 1780660456
Surgery in Little River, SC

Active since December 15, 2005PECOS Enrolled
3600 SEA MOUNTAIN HWY, SUITE A, LITTLE RIVER, SC 29566(843) 399-9774(843) 399-8657 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kenneth H. Mincey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH H. MINCEY MD (NPI 1780660456) is an individual surgery provider in Little River, South Carolina, licensed in South Carolina (11033) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780660456
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KENNETH H. MINCEYCredential: MD
Location Address3600 SEA MOUNTAIN HWY, SUITE ALittle River, SC 29566-8161
Mailing Address3600 Sea Mountain Hwy, Suite ALittle River, SC 29566-8161 · (843) 399-9774 · Fax (843) 399-8657
Phone(843) 399-9774
Fax(843) 399-8657
Sole ProprietorNo
Enumeration DateDecember 15, 2005
Last NPPES UpdateMay 18, 2012
✔ NPI 1780660456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · 11033
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3600 SEA MOUNTAIN HWY, Little River, SC 29566
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Other Identifiers 4

Medicare ID-Type Unspecified3844SC
MedicaidGP0444SC
Other570923578SC · Blue Cross Blue Shield
Medicare UPIND18177SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth H. Mincey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Mincey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcleod Physician Associates II
66 mi
Urology
800 E CHEVES ST, SUITE 350
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 clinicians in this Medicare group
NPI 1649428194 (843) 665-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WATERWAY PRIMARY CARE,LLC
Family Medicine
3600 SEA MOUNTAIN HWY
LITTLE RIVER, SC 29566
Horry County (843) 399-4848
SOUTHERN SURGICAL GROUP, LLC
Surgery
3600 SEA MOUNTAIN HWY, SUITE A
LITTLE RIVER, SC 29566
Horry County (843) 399-9095
SOUTHERN SURGICAL, PA
Specialist
3600 SEA MOUNTAIN HWY, SUITE A
LITTLE RIVER, SC 29566
Horry County (843) 399-9774
MELANIE A HOPKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
3600 SEA MOUNTAIN HWY
LITTLE RIVER, SC 29566
Horry County (843) 399-8930
TIMOTHY ANDREW GAJEWSKI MD
Urology
3600 SEA MOUNTAIN HWY, SUITE B
LITTLE RIVER, SC 29566
Horry County (843) 399-9696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Mincey's NPI number?

The NPI number for Kenneth Mincey is 1780660456. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Kenneth Mincey located?

Kenneth Mincey practices at 3600 Sea Mountain Hwy Suite A, Little River, SC 29566. The listed phone number is (843) 399-9774.

What is Kenneth Mincey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kenneth Mincey enrolled in Medicare?

Yes. Kenneth Mincey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Mincey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Mincey reassigns Medicare benefits to Mcleod Physician Associates II (Florence, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Mincey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Mincey was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.