| Colston Freeman Mcevoy, MD | |
|
200 Patewood Dr, Suite A140, Greenville, SC 29615-3593 | |
| (864) 454-5125 | |
| (864) 241-9201 |
| Full Name | Colston Freeman Mcevoy |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 200 Patewood Dr, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730135203 | NPI | - | NPPES |
| APPROVED | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 23678 (South Carolina) | Secondary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | 23678 (South Carolina) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Colston Freeman Mcevoy, MD 1 Independence Pt, Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6044 | Colston Freeman Mcevoy, MD 200 Patewood Dr, Suite A140, Greenville, SC 29615-3593 Ph: (864) 454-5125 |
Angela Murray Young, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-864-2207 Fax: 864-241-9211 | |
Dominic Bruno Gault, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr, Ste A330, Greenville, SC 29615 Phone: 864-454-5660 Fax: 864-241-9233 | |
Anna Mezey Brownstein, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-220-7270 Fax: 864-241-9211 | |
Dr. Cristina Espindula Fernandes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 W Faris Rd, 2nd Floor, Greenville, SC 29605 Phone: 864-455-8898 Fax: 864-455-5164 | |
Mrs. Linda S Parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 Phone: 864-288-5402 Fax: 864-234-7961 | |
Justin Brantley Holladay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7844 Fax: 864-455-7848 | |
Brittany Walker, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7895 |