Eau Claire Cooperative Health Center, Inc. - Medicare Mental Health Clinic in Columbia, SC

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Eau Claire Cooperative Health Center, Inc. is a medicare enrolled mental health clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Columbia, South Carolina. The current practice location for Eau Claire Cooperative Health Center, Inc. is 1228 Harden St, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 733-5969. The mailing address for Eau Claire Cooperative Health Center, Inc. is Po Box 3788, Columbia, South Carolina and phone number is (803) 733-5969.

Eau Claire Cooperative Health Center, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1346249430. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 733-5969.

Contact Information

Eau Claire Cooperative Health Center, Inc.
1228 Harden St
Columbia
SC 29204-1800
(803) 733-5969
(803) 753-5591

Map and Direction


Mental Health Clinic Profile

Full NameEau Claire Cooperative Health Center, Inc.
SpecialityClinic/Center
Location1228 Harden St, Columbia, South Carolina
Authorized Official Name and PositionDelgado Cantave (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact8037335969
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eau Claire Cooperative Health Center, Inc.
Po Box 3788
Columbia
SC 29230-3788

Ph: (803) 733-5969		Eau Claire Cooperative Health Center, Inc.
1228 Harden St
Columbia
SC 29204-1800

Ph: (803) 733-5969

NPI Details:

NPI Number1346249430
Provider Enumeration Date07/20/2005
Last Update Date02/03/2022
Certification Date02/03/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3274434220
Medicare Enrollment IDO20040114000335

Medical Identifiers

Medical identifiers for Eau Claire Cooperative Health Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346249430NPI-NPPES
FQC031MedicaidSC
CBP018MedicaidSC
4350OtherSCPALMETTO GBA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
104100000XSocial Worker (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eau Claire Cooperative Health Center, Inc. acts as a billing entity for following providers:
Provider NameSubhaschandra Jaynarayan Patel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1891771804
PECOS PAC ID: 4789577669
Enrollment ID: I20040205000239
Provider NameEarnestine B Williams
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1871934695
PECOS PAC ID: 5496649899
Enrollment ID: I20040209000290
Provider NameKadijah Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518988294
PECOS PAC ID: 0648254292
Enrollment ID: I20040614000541
Provider NameAda D Stewart
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750333050
PECOS PAC ID: 8426032335
Enrollment ID: I20040617000559
Provider NameJody D Ellison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891745980
PECOS PAC ID: 1557349545
Enrollment ID: I20040707001208
Provider NameDeborah J Davis
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1598737678
PECOS PAC ID: 3476525965
Enrollment ID: I20040806000041
Provider NameDwayne Aubrey Jacobus
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1295726172
PECOS PAC ID: 4082686647
Enrollment ID: I20040816000075
Provider NameJanet L Douglass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417929134
PECOS PAC ID: 5890756621
Enrollment ID: I20041025000412
Provider NameKathleen Elaine Heer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1770567802
PECOS PAC ID: 4284603705
Enrollment ID: I20041109000032
Provider NameUday K Doppalapudi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679599237
PECOS PAC ID: 5395703862
Enrollment ID: I20041230000095
Provider NameKimberly Hightower
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144220559
PECOS PAC ID: 0143278820
Enrollment ID: I20050110000529
Provider NameDean A Floyd
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386605285
PECOS PAC ID: 9436100138
Enrollment ID: I20050209000758
Provider NameCarol B Alan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1932116217
PECOS PAC ID: 0648225698
Enrollment ID: I20050314000283
Provider NameWoodrow A Bell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659366524
PECOS PAC ID: 2567409642
Enrollment ID: I20050415000688
Provider NameTimothy S Shaver
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275598674
PECOS PAC ID: 4284661869
Enrollment ID: I20050726000274
Provider NameAnthony B Elkins
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1629045505
PECOS PAC ID: 2961416276
Enrollment ID: I20060125000915
Provider NameAdelero Olayinka Adebajo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013089572
PECOS PAC ID: 9739194960
Enrollment ID: I20060209000323
Provider NameJandrette A Rhoe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972691889
PECOS PAC ID: 8325055643
Enrollment ID: I20060313000044
Provider NameGail R Dillard-washington
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1447201249
PECOS PAC ID: 7911914775
Enrollment ID: I20060320000415
Provider NameErnest A Alleyne
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396782983
PECOS PAC ID: 5193724862
Enrollment ID: I20061206000241
Provider NameMarilee C Griswold
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1821068719
PECOS PAC ID: 2668578667
Enrollment ID: I20070508000684
Provider NameKathleen M Moser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841265824
PECOS PAC ID: 1658455647
Enrollment ID: I20080229000161
Provider NameElizabeth M Berg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104866771
PECOS PAC ID: 8022197409
Enrollment ID: I20080509000600
Provider NameOdette D Fisher-glover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053398792
PECOS PAC ID: 9931272259
Enrollment ID: I20080721000237
Provider NameSarah M Thompson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1265641419
PECOS PAC ID: 3577616655
Enrollment ID: I20090807000013
Provider NameJennifer Fouquette Fisher
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1730242108
PECOS PAC ID: 5597810937
Enrollment ID: I20090908000491
Provider NameCarol A Heebner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548239064
PECOS PAC ID: 6406999754
Enrollment ID: I20100209000096
Provider NameJennifer K Babb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669400032
PECOS PAC ID: 4082669171
Enrollment ID: I20100602000665
Provider NameEzra M Ash-malachi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477746469
PECOS PAC ID: 0547394306
Enrollment ID: I20100816000229
Provider NameNita Thapa
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1730315839
PECOS PAC ID: 5597945147
Enrollment ID: I20110214000915
Provider NameTrenten Aristotle Prioleau
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1104129790
PECOS PAC ID: 4981887783
Enrollment ID: I20110331000170
Provider NamePrishal Chetty Holloway
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1104025782
PECOS PAC ID: 9133304736
Enrollment ID: I20110426000150
Provider NameJoseph P Grant
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1639135239
PECOS PAC ID: 3072790385
Enrollment ID: I20110712000543
Provider NameDanny Charles Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467413682
PECOS PAC ID: 8921999756
Enrollment ID: I20110722000038
Provider NameCharlie Wofford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609031400
PECOS PAC ID: 8628247731
Enrollment ID: I20110805000795
Provider NameEric M Schlueter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629020037
PECOS PAC ID: 2769669597
Enrollment ID: I20110908002003
Provider NameAboagye Agyenim-boateng
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1194758243
PECOS PAC ID: 0547363889
Enrollment ID: I20110908002282
Provider NameDean R Jacobs
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1427034040
PECOS PAC ID: 6507827813
Enrollment ID: I20120109000519
Provider NameUgichi Cantave
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720219256
PECOS PAC ID: 5092975813
Enrollment ID: I20120330000647
Provider NameLinda Crout Wingard
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669432779
PECOS PAC ID: 1658533419
Enrollment ID: I20120424000679
Provider NameWanda D Gibson
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1659453918
PECOS PAC ID: 2163678228
Enrollment ID: I20120807000006
Provider NameMonica S Mccutcheon
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1144482035
PECOS PAC ID: 6709032865
Enrollment ID: I20120807000011
Provider NameJulie L Brasher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982951000
PECOS PAC ID: 1557511532
Enrollment ID: I20121029000452
Provider NameSharrell Tonya Odom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033453048
PECOS PAC ID: 6507013612
Enrollment ID: I20130625000495
Provider NameCrystal Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831431931
PECOS PAC ID: 8921248659
Enrollment ID: I20130701000378
Provider NameShawnequa Latrina Brown
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1437280906
PECOS PAC ID: 6709951098
Enrollment ID: I20130710000350
Provider NameElizabeth Wagoner Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861798845
PECOS PAC ID: 5193968915
Enrollment ID: I20130827000382
Provider NameAugustus Rodgers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588613517
PECOS PAC ID: 1355437609
Enrollment ID: I20131002000585
Provider NameCarryn N Rice
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1679697452
PECOS PAC ID: 1759515729
Enrollment ID: I20131004000444
Provider NameTabitha Jones Garner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144502444
PECOS PAC ID: 1355570318
Enrollment ID: I20140215000042
Provider NameJanee Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699101584
PECOS PAC ID: 2567694987
Enrollment ID: I20140416001951
Provider NameEver Shamiel Collier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700125879
PECOS PAC ID: 0345463634
Enrollment ID: I20140513001281
Provider NameRuby Albert
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295721009
PECOS PAC ID: 3870717200
Enrollment ID: I20140605000052
Provider NameVernica Roberson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215260435
PECOS PAC ID: 1456572072
Enrollment ID: I20141024000830
Provider NameChermaine Latrice Lyde
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1689830226
PECOS PAC ID: 8527289032
Enrollment ID: I20141027002299
Provider NameRosa M Castillo-schilder
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588093728
PECOS PAC ID: 0941523286
Enrollment ID: I20141217002843
Provider NameMorgan Jackson Kanwisher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134520836
PECOS PAC ID: 6002139144
Enrollment ID: I20141223000009
Provider NameEmmeline L Short
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760868962
PECOS PAC ID: 6002125333
Enrollment ID: I20151027001613
Provider NameLindsay M Hall
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1831573625
PECOS PAC ID: 3779883541
Enrollment ID: I20151201000047
Provider NameAllison Murrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851762694
PECOS PAC ID: 7113228131
Enrollment ID: I20151216002773
Provider NameLa'kia Singleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326411448
PECOS PAC ID: 6608179023
Enrollment ID: I20160119002096
Provider NameKatherine J Atkinson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407042476
PECOS PAC ID: 6800190778
Enrollment ID: I20160212002139
Provider NameRebecca Biscoglia
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1780829465
PECOS PAC ID: 5193020980
Enrollment ID: I20160216001015
Provider NameRebecca L White
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1447223433
PECOS PAC ID: 2062471568
Enrollment ID: I20160302000431
Provider NameDanielle R Davis
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639328743
PECOS PAC ID: 0840594008
Enrollment ID: I20160302000719
Provider NameAshton Shealy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710362827
PECOS PAC ID: 9032415427
Enrollment ID: I20160310001820
Provider NameDan R Bodison
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215937610
PECOS PAC ID: 4789981572
Enrollment ID: I20160322001331
Provider NameJeanine Khoury
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740201417
PECOS PAC ID: 8325339443
Enrollment ID: I20160621001752
Provider NameStephanie Gibson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1124356399
PECOS PAC ID: 0143512038
Enrollment ID: I20160713002236
Provider NameMeredith Brazell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073952909
PECOS PAC ID: 2466694500
Enrollment ID: I20160808000235
Provider NameLynn L Wilson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1740264290
PECOS PAC ID: 0345536868
Enrollment ID: I20160909001632
Provider NameApril E Barnes
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1194163832
PECOS PAC ID: 3577852987
Enrollment ID: I20161010001396
Provider NameTamika Bryson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164874558
PECOS PAC ID: 9234427964
Enrollment ID: I20161013000620
Provider NameAlicia K Ribar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679680631
PECOS PAC ID: 7618937434
Enrollment ID: I20161018000991
Provider NameLouquis P Canty Belk
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1902859135
PECOS PAC ID: 4284915653
Enrollment ID: I20161222000747
Provider NameAllison Stroughton Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013369453
PECOS PAC ID: 5991089286
Enrollment ID: I20170306001444
Provider NameAmanda Driggers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972042505
PECOS PAC ID: 4183901838
Enrollment ID: I20170505000045
Provider NameCarolyn Brown
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1942470448
PECOS PAC ID: 3678840782
Enrollment ID: I20170522000222
Provider NameShanda Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114468832
PECOS PAC ID: 8527335124
Enrollment ID: I20170602001477
Provider NameTracie Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306376199
PECOS PAC ID: 5092088088
Enrollment ID: I20170914000171
Provider NameKeionda C Caldwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487185484
PECOS PAC ID: 2466728829
Enrollment ID: I20171030003024
Provider NameKelly Niermeier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861855645
PECOS PAC ID: 0446516025
Enrollment ID: I20171115000699
Provider NameMelissa Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285160325
PECOS PAC ID: 4284993726
Enrollment ID: I20180109001423
Provider NameSabrina Blocker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922510353
PECOS PAC ID: 3173882628
Enrollment ID: I20180109002049
Provider NameAlexandra B Weathersby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851790216
PECOS PAC ID: 9830414168
Enrollment ID: I20180228002516
Provider NameJason A Richard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841747417
PECOS PAC ID: 7113204603
Enrollment ID: I20180412001959
Provider NameJordan Polk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194222935
PECOS PAC ID: 0446515274
Enrollment ID: I20180529002190
Provider NameTonia Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811496862
PECOS PAC ID: 6204181670
Enrollment ID: I20180626002982
Provider NameJessica Newell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184123630
PECOS PAC ID: 2365790888
Enrollment ID: I20180731002283
Provider NameLatova Nichelle Quattlebaum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659854255
PECOS PAC ID: 3072857101
Enrollment ID: I20181130001131
Provider NameHeather Schneider Miles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952874158
PECOS PAC ID: 3173857752
Enrollment ID: I20190702001402
Provider NameJared Williams Atkinson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1629424114
PECOS PAC ID: 4587955893
Enrollment ID: I20190703000287
Provider NameWhitney L Shepard
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1285013276
PECOS PAC ID: 0547551939
Enrollment ID: I20190916001205
Provider NameAmber A Flanigan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215443106
PECOS PAC ID: 7113359506
Enrollment ID: I20191125001010
Provider NameJamilya A Swygert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942855986
PECOS PAC ID: 7911330022
Enrollment ID: I20191204000037
Provider NameShavon Prabhakar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194371500
PECOS PAC ID: 1052747334
Enrollment ID: I20200205000121
Provider NameSelma Hadziahmetovic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609419449
PECOS PAC ID: 8426484734
Enrollment ID: I20200205001481
Provider NameAnnette G Burden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891138970
PECOS PAC ID: 0345677811
Enrollment ID: I20200221001179
Provider NameMelissa B Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871133728
PECOS PAC ID: 1254762537
Enrollment ID: I20200521000881
Provider NameMilissa P Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558992701
PECOS PAC ID: 9133541873
Enrollment ID: I20200625000591
Provider NameAngel J Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497394852
PECOS PAC ID: 8022430719
Enrollment ID: I20200625002529
Provider NameLisa Creel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164058681
PECOS PAC ID: 5395162051
Enrollment ID: I20200827000231
Provider NameAmanda Suzanne Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881220226
PECOS PAC ID: 0446670376
Enrollment ID: I20201015000667
Provider NameWanda K Fulton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881204899
PECOS PAC ID: 8527470962
Enrollment ID: I20201209001451
Provider NameKimberly D Smith
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1912120023
PECOS PAC ID: 4385057074
Enrollment ID: I20210129000328
Provider NameMaureen O Nwajiaku
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790321917
PECOS PAC ID: 0840604062
Enrollment ID: I20210129002158
Provider NameAmber I Timmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245827369
PECOS PAC ID: 3870909708
Enrollment ID: I20210301002154
Provider NameTowanna Shanett Lance Enoch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982709069
PECOS PAC ID: 1254568355
Enrollment ID: I20210526002470
Provider NameBrandi Burgess Hair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114542586
PECOS PAC ID: 3779984299
Enrollment ID: I20210622001429
Provider NameMary K Weeks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689299406
PECOS PAC ID: 1355743311
Enrollment ID: I20210713002675
Provider NameMorgan D Flowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427665181
PECOS PAC ID: 9537562293
Enrollment ID: I20210720000321
Provider NameVeronica L Stukes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457995375
PECOS PAC ID: 2365831559
Enrollment ID: I20211109001969
Provider NameCandace Marie Gregg
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629338389
PECOS PAC ID: 8527450667
Enrollment ID: I20220121000885
Provider NameJohn V Ferguson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1528157930
PECOS PAC ID: 5991730749
Enrollment ID: I20220208001839
Provider NameElizabeth Harris Munn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275205932
PECOS PAC ID: 8325435811
Enrollment ID: I20220502001883
Provider NameTiffany L Gethers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386301133
PECOS PAC ID: 9335526268
Enrollment ID: I20220516001729
Provider NameArlene Martin
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1427054717
PECOS PAC ID: 0446636658
Enrollment ID: I20220926001177
Provider NameLauren Rudd Nates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689214033
PECOS PAC ID: 9830565415
Enrollment ID: I20221024000376
Provider NameLatonya Brailsford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003205808
PECOS PAC ID: 0547637258
Enrollment ID: I20221109003523
Provider NameIsabel Margarita Lemasters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811514961
PECOS PAC ID: 4082081583
Enrollment ID: I20221111000967
Provider NameSarah Burnside Riggins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104544329
PECOS PAC ID: 3072984483
Enrollment ID: I20230123002210
Provider NameJames Van Jefferson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932716172
PECOS PAC ID: 0446621783
Enrollment ID: I20230124000669
Provider NameViarda Licelot Polanco Zacarias
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902202096
PECOS PAC ID: 7618349994
Enrollment ID: I20230215000163
Provider NameAshley Rene Sikes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538872643
PECOS PAC ID: 0244605780
Enrollment ID: I20230413002956
Provider NameKishan V Kumar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639676679
PECOS PAC ID: 7810234994
Enrollment ID: I20230419001633
Provider NameShalanda E Pollins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093418683
PECOS PAC ID: 0941668776
Enrollment ID: I20230626003061
Provider NameKaronda W Hardrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669861738
PECOS PAC ID: 7911351572
Enrollment ID: I20230929003160
Provider NameSavanah P Querze
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235915539
PECOS PAC ID: 9830546530
Enrollment ID: I20231116001957
Provider NameJennifer N Ervin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346659372
PECOS PAC ID: 5294182929
Enrollment ID: I20231116003033
Provider NameBeth M Sanders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609640416
PECOS PAC ID: 2163875378
Enrollment ID: I20240124001402
Provider NameShaundra N Pickett
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1811530546
PECOS PAC ID: 7517310790
Enrollment ID: I20240124003689
Provider NameJennifer J Davis
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1386068021
PECOS PAC ID: 7810340502
Enrollment ID: I20240130000562
Provider NameCindy M Richardson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1861788317
PECOS PAC ID: 2860845351
Enrollment ID: I20240131004125
Provider NameShaletha L Richard
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1134522337
PECOS PAC ID: 4082058136
Enrollment ID: I20240216003605

Reviews and Comments

Clinic/Center in Columbia, SC

Kreative Counseling Enrichment Services, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2110 N Beltline Blvd, Columbia, SC 29204
Phone: 803-261-1621    
Counseling & Consulting Services Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 200 Outlet Pointe Blvd, Columbia, SC 29210
Phone: 803-772-6540    Fax: 803-772-6540
Epworth Children's Home
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2900 Millwood Ave, Columbia, SC 29205
Phone: 803-212-4793    Fax: 803-212-4287
Latoya Brooks-key, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4611 Hard Scrabble Rd Ste 109, Columbia, SC 29229
Phone: 917-676-6438    
Infinite Solutions Counseling And Consulting Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1201 Main St Ste 1980, Columbia, SC 29201
Phone: 803-319-0910    Fax: 803-403-0337
Equilibrium Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 701 Gervais St, Ste 150-258, Columbia, SC 29201
Phone: 803-361-3066    Fax: 866-834-4286
The Stepping Stones Group, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1320 Main St Ste 300, Columbia, SC 29201
Phone: 803-769-8263    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.