| Itrust Wellness Group | |
|
149 Commons Way Greenville SC 29611-3850 | |
| (864) 520-2020 | |
| Not Available |
| Full Name | Itrust Wellness Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 149 Commons Way, Greenville, South Carolina |
| Authorized Official Name and Position | Grace Keel (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8645205500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Itrust Wellness Group 125 Commons Way Greenville SC 29611-3850 Ph: (864) 520-2020 | Itrust Wellness Group 149 Commons Way Greenville SC 29611-3850 Ph: (864) 520-2020 |
| NPI Number | 1629517222 |
|---|---|
| Provider Enumeration Date | 02/15/2017 |
| Last Update Date | 05/19/2026 |
| Certification Date | 05/19/2026 |
| Medicare PECOS PAC ID | 0648532028 |
|---|---|
| Medicare Enrollment ID | O20180322002663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629517222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20465 (South Carolina) | Primary |
| Provider Name | Lauren Craft Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083848360 PECOS PAC ID: 2062559032 Enrollment ID: I20091023000109 |
| Provider Name | Jennifer Anne Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528473824 PECOS PAC ID: 6901026954 Enrollment ID: I20140925001992 |
| Provider Name | Amanda Lee Groome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013217850 PECOS PAC ID: 9739497868 Enrollment ID: I20151008002658 |
| Provider Name | Steven J Krozer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073060737 PECOS PAC ID: 8527348325 Enrollment ID: I20161214000826 |
| Provider Name | Meghan Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497220230 PECOS PAC ID: 9638418171 Enrollment ID: I20190228001426 |
| Provider Name | Kelley P Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750634226 PECOS PAC ID: 3072853571 Enrollment ID: I20190320001100 |
| Provider Name | Melissa Danner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518528512 PECOS PAC ID: 3779813845 Enrollment ID: I20191002003961 |
| Provider Name | Jared Joshua Carbone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164810610 PECOS PAC ID: 9638400245 Enrollment ID: I20191014000873 |
| Provider Name | Danette Cogdill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720636533 PECOS PAC ID: 3274969936 Enrollment ID: I20200129000999 |
| Provider Name | Luron M Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376172502 PECOS PAC ID: 4880005180 Enrollment ID: I20201117002193 |
| Provider Name | Michelle A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447857925 PECOS PAC ID: 9931512571 Enrollment ID: I20201229000054 |
| Provider Name | Lora Christi Dukes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700487782 PECOS PAC ID: 0547675035 Enrollment ID: I20210216000040 |
| Provider Name | Cassandra Treadwell Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982230959 PECOS PAC ID: 5991113995 Enrollment ID: I20210412001481 |
| Provider Name | Svetlana Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312087 PECOS PAC ID: 4981948155 Enrollment ID: I20210716000221 |
| Provider Name | Stephanie Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578097077 PECOS PAC ID: 6800219403 Enrollment ID: I20210722003578 |
| Provider Name | Helen Chandler Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225635949 PECOS PAC ID: 6800293507 Enrollment ID: I20210923000020 |
| Provider Name | Shatarra Tavonia Salley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639795859 PECOS PAC ID: 8921485467 Enrollment ID: I20220523000080 |
| Provider Name | Marina Neale Osborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538896964 PECOS PAC ID: 8426433186 Enrollment ID: I20220915002319 |
| Provider Name | Kameron B Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982368262 PECOS PAC ID: 9436527728 Enrollment ID: I20221117000563 |
| Provider Name | Lindsey Madsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144948589 PECOS PAC ID: 6608244496 Enrollment ID: I20221129002223 |
| Provider Name | Katelyn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396453718 PECOS PAC ID: 2668837261 Enrollment ID: I20230504001178 |
| Provider Name | Melissa Autumn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568178713 PECOS PAC ID: 8820455413 Enrollment ID: I20230613003174 |
| Provider Name | Lindsay Gregory Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174232946 PECOS PAC ID: 9638533540 Enrollment ID: I20230911004285 |
| Provider Name | Rielle Simone Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902474950 PECOS PAC ID: 3870949399 Enrollment ID: I20231019001857 |
| Provider Name | William Reynolds |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568806651 PECOS PAC ID: 9234591249 Enrollment ID: I20240130002442 |
| Provider Name | Courtney Truesdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144085416 PECOS PAC ID: 4880032804 Enrollment ID: I20240409003874 |
| Provider Name | Sydney Steele Broxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538924436 PECOS PAC ID: 2264975390 Enrollment ID: I20240618001682 |
| Provider Name | Chrisanthe Rena Garilas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215709472 PECOS PAC ID: 9436697950 Enrollment ID: I20240815001782 |
| Provider Name | Amber Cherrell Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396566774 PECOS PAC ID: 7113453044 Enrollment ID: I20241216000923 |
| Provider Name | Amanda Fisher Craddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275356206 PECOS PAC ID: 9638607393 Enrollment ID: I20250108002046 |
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