| Anmed | |
|
2000 E Greenville St Fl 3 Anderson SC 29621-1580 | |
| (864) 512-1000 | |
| (864) 512-1823 |
| Full Name | Anmed |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2000 E Greenville St Fl 3, Anderson, South Carolina |
| Authorized Official Name and Position | Christine M Pearson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8645121109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anmed Po Box 100174 Columbia SC 29202-3174 Ph: (864) 512-1417 | Anmed 2000 E Greenville St Fl 3 Anderson SC 29621-1580 Ph: (864) 512-1000 |
| NPI Number | 1164746392 |
|---|---|
| Provider Enumeration Date | 03/17/2010 |
| Last Update Date | 10/20/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 1951215243 |
|---|---|
| Medicare Enrollment ID | O20040315000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164746392 | NPI | - | NPPES |
| 400275 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (South Carolina) | Primary |
| Provider Name | Juan Jose Teruel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285673814 PECOS PAC ID: 2769396936 Enrollment ID: I20031113000258 |
| Provider Name | Kenneth S Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386694222 PECOS PAC ID: 9032010855 Enrollment ID: I20040115000618 |
| Provider Name | Abdalla M Bamashmus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144338401 PECOS PAC ID: 4880584614 Enrollment ID: I20040317000091 |
| Provider Name | Nathan Bradford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407876477 PECOS PAC ID: 9032196118 Enrollment ID: I20040707000170 |
| Provider Name | Ernest Cleage Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437176922 PECOS PAC ID: 3971582909 Enrollment ID: I20040714001227 |
| Provider Name | Michael Seemuller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245200161 PECOS PAC ID: 9234103664 Enrollment ID: I20040823000501 |
| Provider Name | Christopher B Clemow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093748386 PECOS PAC ID: 9638134273 Enrollment ID: I20041123000790 |
| Provider Name | Dana Wiley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427006808 PECOS PAC ID: 5799726923 Enrollment ID: I20050519000056 |
| Provider Name | Elizabeth Hinton Darragh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659501799 PECOS PAC ID: 3779509278 Enrollment ID: I20051024000116 |
| Provider Name | Lisa G Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679661748 PECOS PAC ID: 8527075118 Enrollment ID: I20060307000244 |
| Provider Name | Sandhya Pattem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639198856 PECOS PAC ID: 9436155819 Enrollment ID: I20061006000323 |
| Provider Name | Kyle K Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316998180 PECOS PAC ID: 4880652270 Enrollment ID: I20070313000560 |
| Provider Name | Robert M Alburo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699979310 PECOS PAC ID: 1456419787 Enrollment ID: I20081015000296 |
| Provider Name | John M Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760423339 PECOS PAC ID: 2769566744 Enrollment ID: I20081029000488 |
| Provider Name | Fahd A Zarrouf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396867461 PECOS PAC ID: 0244376416 Enrollment ID: I20091002000016 |
| Provider Name | April N Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295961399 PECOS PAC ID: 3072650548 Enrollment ID: I20091103000036 |
| Provider Name | Renee A Monaghan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255393070 PECOS PAC ID: 0941341457 Enrollment ID: I20100106000344 |
| Provider Name | Marion K Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316988975 PECOS PAC ID: 4880738715 Enrollment ID: I20100216000702 |
| Provider Name | Kara Cooper Gilmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437387354 PECOS PAC ID: 1951445816 Enrollment ID: I20100216000987 |
| Provider Name | Stacey G Branyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801837489 PECOS PAC ID: 2769526144 Enrollment ID: I20100223000662 |
| Provider Name | Edmond R Jordan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033173562 PECOS PAC ID: 1254461700 Enrollment ID: I20100610000470 |
| Provider Name | Stephen Cayelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588600308 PECOS PAC ID: 4789714007 Enrollment ID: I20100614000353 |
| Provider Name | Karen Y Weise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205856903 PECOS PAC ID: 0840320065 Enrollment ID: I20100615000736 |
| Provider Name | Matthew Roehrs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629015862 PECOS PAC ID: 3870624711 Enrollment ID: I20100622000162 |
| Provider Name | David L Kyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952370728 PECOS PAC ID: 0446154801 Enrollment ID: I20100708000609 |
| Provider Name | Dorenda G Truesdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457378309 PECOS PAC ID: 0749387041 Enrollment ID: I20111201000581 |
| Provider Name | Kimberly Gail Kyker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992942502 PECOS PAC ID: 1658538558 Enrollment ID: I20120203000705 |
| Provider Name | Thomas C Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942243589 PECOS PAC ID: 7113992769 Enrollment ID: I20120412000405 |
| Provider Name | Tara H Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528327418 PECOS PAC ID: 7416112602 Enrollment ID: I20120713000605 |
| Provider Name | Kenneth G Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801183710 PECOS PAC ID: 1355577354 Enrollment ID: I20131121001732 |
| Provider Name | Elmer G Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669804647 PECOS PAC ID: 2163650532 Enrollment ID: I20140109000759 |
| Provider Name | Joseph B Mulvihill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821385642 PECOS PAC ID: 1456574995 Enrollment ID: I20140602000497 |
| Provider Name | Candace G Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710307103 PECOS PAC ID: 9335364942 Enrollment ID: I20140715000745 |
| Provider Name | Rene L Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598028896 PECOS PAC ID: 4082921630 Enrollment ID: I20150915002873 |
| Provider Name | Sherrie R Dansby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851772537 PECOS PAC ID: 8123337698 Enrollment ID: I20151023000536 |
| Provider Name | Silvestro J Lijoi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780679118 PECOS PAC ID: 7012996135 Enrollment ID: I20151216002463 |
| Provider Name | Donna G Marcengill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316318454 PECOS PAC ID: 1153623137 Enrollment ID: I20160107002106 |
| Provider Name | Andrea Ray Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578803862 PECOS PAC ID: 0749589760 Enrollment ID: I20160426001114 |
| Provider Name | Nina E Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881131829 PECOS PAC ID: 6608144712 Enrollment ID: I20170614000976 |
| Provider Name | Mary F Finney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275947376 PECOS PAC ID: 5193013456 Enrollment ID: I20170621001750 |
| Provider Name | Jessica G Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144754680 PECOS PAC ID: 9335418565 Enrollment ID: I20170703001404 |
| Provider Name | Robert C Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114331154 PECOS PAC ID: 6507154762 Enrollment ID: I20170808000686 |
| Provider Name | Kelly Reyna Radford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750763876 PECOS PAC ID: 1052699337 Enrollment ID: I20180214002213 |
| Provider Name | Hiliary Cash Weill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689056251 PECOS PAC ID: 4183902182 Enrollment ID: I20180305002460 |
| Provider Name | Andrew Hagenauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063894590 PECOS PAC ID: 8123316262 Enrollment ID: I20180314002294 |
| Provider Name | Arthur Buist Jordan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548642325 PECOS PAC ID: 6709164981 Enrollment ID: I20180319001953 |
| Provider Name | Nathanael Ricardo Benitez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346622883 PECOS PAC ID: 5991093148 Enrollment ID: I20180320001548 |
| Provider Name | Michael Stephen Odom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093197980 PECOS PAC ID: 3072801117 Enrollment ID: I20180321000466 |
| Provider Name | Jack P Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396127569 PECOS PAC ID: 5991093445 Enrollment ID: I20180403001120 |
| Provider Name | Christopher Steven Bailes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578945010 PECOS PAC ID: 0648568162 Enrollment ID: I20180404001849 |
| Provider Name | David E Cothran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356844757 PECOS PAC ID: 7416206396 Enrollment ID: I20180827001276 |
| Provider Name | Harley Randall Hendrix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003265836 PECOS PAC ID: 3779871207 Enrollment ID: I20180913002310 |
| Provider Name | Lara Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215386800 PECOS PAC ID: 4981982824 Enrollment ID: I20180917000233 |
| Provider Name | Kendall N Shirley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487003216 PECOS PAC ID: 2062790298 Enrollment ID: I20180918001384 |
| Provider Name | Richard P Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427406305 PECOS PAC ID: 7416245782 Enrollment ID: I20180918001748 |
| Provider Name | Grayson P Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578913976 PECOS PAC ID: 9032407564 Enrollment ID: I20180927001550 |
| Provider Name | Kyle M Ryberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891144648 PECOS PAC ID: 0143518159 Enrollment ID: I20180928002117 |
| Provider Name | Christian H Richey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497105910 PECOS PAC ID: 7517255870 Enrollment ID: I20181001001801 |
| Provider Name | Chelsea A Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528546702 PECOS PAC ID: 5597017681 Enrollment ID: I20181018001221 |
| Provider Name | Shazia Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538421029 PECOS PAC ID: 4789943150 Enrollment ID: I20181113000257 |
| Provider Name | Alexander J Eisenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063860245 PECOS PAC ID: 7315209871 Enrollment ID: I20181119002512 |
| Provider Name | Lauren Elizabeth Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356817449 PECOS PAC ID: 7618213323 Enrollment ID: I20190116001785 |
| Provider Name | Amanda Mae Gambill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558894477 PECOS PAC ID: 3971879578 Enrollment ID: I20190620003492 |
| Provider Name | Kristy Nicole Fincher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447783360 PECOS PAC ID: 9436425915 Enrollment ID: I20190625000017 |
| Provider Name | Joshua Aaron Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811420730 PECOS PAC ID: 4284900762 Enrollment ID: I20190625001571 |
| Provider Name | Jeffrey C Yonce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417480518 PECOS PAC ID: 5092081570 Enrollment ID: I20190730002039 |
| Provider Name | James Allen Shuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376076299 PECOS PAC ID: 1557637956 Enrollment ID: I20190730002208 |
| Provider Name | Abby Rowland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487188389 PECOS PAC ID: 8123394426 Enrollment ID: I20190808003256 |
| Provider Name | William N Gasque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740713668 PECOS PAC ID: 4981970373 Enrollment ID: I20190812002475 |
| Provider Name | Rachel Suzanne Kee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740714641 PECOS PAC ID: 0143596544 Enrollment ID: I20190813002302 |
| Provider Name | Eric Cromer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366975286 PECOS PAC ID: 2961778444 Enrollment ID: I20190821001725 |
| Provider Name | Erin R Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124675194 PECOS PAC ID: 3072844547 Enrollment ID: I20191015000227 |
| Provider Name | Lazedra Monah Myisha Cade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043860562 PECOS PAC ID: 7911330220 Enrollment ID: I20191127000214 |
| Provider Name | Tabitha Denise Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306409487 PECOS PAC ID: 3072949759 Enrollment ID: I20200129001629 |
| Provider Name | Michael Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396727574 PECOS PAC ID: 2769663475 Enrollment ID: I20200323002914 |
| Provider Name | Tedra Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821586645 PECOS PAC ID: 5890049902 Enrollment ID: I20200729003450 |
| Provider Name | Dean Horacio Trantham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740778513 PECOS PAC ID: 9234489196 Enrollment ID: I20200731002601 |
| Provider Name | Meridith Ferguson Odom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659891059 PECOS PAC ID: 3173898657 Enrollment ID: I20200803002454 |
| Provider Name | Jonathan Sappington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437647278 PECOS PAC ID: 1153675269 Enrollment ID: I20200804000509 |
| Provider Name | Kevin Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770071177 PECOS PAC ID: 6406100171 Enrollment ID: I20200804001997 |
| Provider Name | Hollie Elizabeth Ables |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528556362 PECOS PAC ID: 1557615663 Enrollment ID: I20200810000737 |
| Provider Name | Matthew Hardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659869972 PECOS PAC ID: 0840544946 Enrollment ID: I20200812002888 |
| Provider Name | Spencer Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073001491 PECOS PAC ID: 0547514655 Enrollment ID: I20200813003834 |
| Provider Name | Blake A Rudeseal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275021420 PECOS PAC ID: 3173877859 Enrollment ID: I20200818001193 |
| Provider Name | James Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619465663 PECOS PAC ID: 2264786375 Enrollment ID: I20200824002418 |
| Provider Name | Amanda Burnette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427546233 PECOS PAC ID: 1658625769 Enrollment ID: I20200914002424 |
| Provider Name | William Gary Vincent Farkas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366798563 PECOS PAC ID: 8628496809 Enrollment ID: I20200921001810 |
| Provider Name | Whitney Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053794438 PECOS PAC ID: 5193144772 Enrollment ID: I20200930003544 |
| Provider Name | Amanda Carol Dyar Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588260277 PECOS PAC ID: 9436563319 Enrollment ID: I20210204002208 |
| Provider Name | Alexander Grady Ham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952918476 PECOS PAC ID: 5799192977 Enrollment ID: I20210406001746 |
| Provider Name | Walter Burke Lackey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851854830 PECOS PAC ID: 2567793904 Enrollment ID: I20210617001255 |
| Provider Name | Amanda D Dorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982164810 PECOS PAC ID: 7810229648 Enrollment ID: I20210618000340 |
| Provider Name | Anietra Deneen Lashawn Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851854764 PECOS PAC ID: 7719319516 Enrollment ID: I20210618000833 |
| Provider Name | Sajiv Alias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992266910 PECOS PAC ID: 1759613573 Enrollment ID: I20210623000918 |
| Provider Name | Nathan Seeberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336600477 PECOS PAC ID: 4880925411 Enrollment ID: I20210624000385 |
| Provider Name | Phillip Roper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629539671 PECOS PAC ID: 3870925985 Enrollment ID: I20210624000582 |
| Provider Name | Logan Brenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194287037 PECOS PAC ID: 4587996319 Enrollment ID: I20210630000382 |
| Provider Name | Drew A Flemming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437611290 PECOS PAC ID: 9638501943 Enrollment ID: I20210804003886 |
| Provider Name | Brandi Leigh Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124796743 PECOS PAC ID: 8628467594 Enrollment ID: I20211115001709 |
| Provider Name | Collin Jack Andrus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497383988 PECOS PAC ID: 4981022167 Enrollment ID: I20220707000771 |
| Provider Name | Christian Michael Askew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952939001 PECOS PAC ID: 6002234267 Enrollment ID: I20220720000538 |
| Provider Name | Allie C Redding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427686047 PECOS PAC ID: 0446678627 Enrollment ID: I20220728000406 |
| Provider Name | Joseph Daniel Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679100796 PECOS PAC ID: 8123446317 Enrollment ID: I20220803001956 |
| Provider Name | Taylor N Haines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467089474 PECOS PAC ID: 4082032685 Enrollment ID: I20220808001958 |
| Provider Name | Brandon William Hanna |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205495025 PECOS PAC ID: 1951632504 Enrollment ID: I20220809000081 |
| Provider Name | Tarra D Wasilchen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518231968 PECOS PAC ID: 0648559195 Enrollment ID: I20220827000033 |
| Provider Name | Elizabeth Anne Stuart Whitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013621721 PECOS PAC ID: 0244601557 Enrollment ID: I20230125000768 |
| Provider Name | Austin Wesley Mahaffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376121178 PECOS PAC ID: 8628471265 Enrollment ID: I20230706001169 |
| Provider Name | Michael R Kopscik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952989048 PECOS PAC ID: 7416350699 Enrollment ID: I20230706004014 |
| Provider Name | John Elliott Calvert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720668700 PECOS PAC ID: 3375946346 Enrollment ID: I20230719000629 |
| Provider Name | Kevin P Rinek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891375168 PECOS PAC ID: 0840693883 Enrollment ID: I20230720004051 |
| Provider Name | Graham Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396366332 PECOS PAC ID: 8224450283 Enrollment ID: I20230807000801 |
| Provider Name | Charles Rowland Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639755002 PECOS PAC ID: 0143623850 Enrollment ID: I20230807002709 |
| Provider Name | Amy Elizabeth Bradshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508444803 PECOS PAC ID: 9537562582 Enrollment ID: I20230810003477 |
| Provider Name | Alexander Louis Bisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093394611 PECOS PAC ID: 3072915230 Enrollment ID: I20230828004034 |
| Provider Name | Carianna Sherrell Beck Coston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336761188 PECOS PAC ID: 8426476490 Enrollment ID: I20230830003477 |
| Provider Name | Ashley Mcneal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881272169 PECOS PAC ID: 6507260171 Enrollment ID: I20230908003662 |
| Provider Name | Michael Thomas Weingarten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508446659 PECOS PAC ID: 7618371360 Enrollment ID: I20230926001025 |
| Provider Name | Cherie Baggett Shuler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760062301 PECOS PAC ID: 2062816770 Enrollment ID: I20231108001345 |
Brie Childress, Lisw-cp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Lane Ave, Anderson, SC 29621 Phone: 864-359-8888 | |
Anderson Psychiatry And Psychotherapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Fant St, Suite D, Anderson, SC 29621 Phone: 864-226-1166 Fax: 864-226-5647 | |
Common Ground Therapeutic And Coaching Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2105 N Main St Ste D, Anderson, SC 29621 Phone: 864-634-0930 Fax: 864-900-0248 | |
Life Options, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Fairmont Rd, Anderson, SC 29621 Phone: 704-763-9711 | |
Impact Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Mcgee Rd, Anderson, SC 29625 Phone: 864-260-5632 Fax: 864-260-5664 | |
Connections Counseling Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 110 Calvary Home Cir, Anderson, SC 29621 Phone: 864-328-5187 | |
Carolina Neurology & Neuroimaging Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 111 Shire Dr, Anderson, SC 29621 Phone: 864-716-2600 Fax: 864-716-2666 |