| Musc Affiliate Physicians | |
|
171 Ashley Ave Charleston SC 29425-8908 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | Musc Affiliate Physicians |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Karyn Rae (CHAIR, PAYOR RELATIONS & FINANCE) |
| Authorized Official Contact | 8438761344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Musc Affiliate Physicians Po Box 936934 Atlanta GA 31193-6934 Ph: (843) 792-6200 | Musc Affiliate Physicians 171 Ashley Ave Charleston SC 29425-8908 Ph: (843) 792-1414 |
| NPI Number | 1700465648 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Medicare PECOS PAC ID | 6305241027 |
|---|---|
| Medicare Enrollment ID | O20210818002996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700465648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | John S Stadalsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699720250 PECOS PAC ID: 2365346640 Enrollment ID: I20031120000188 |
| Provider Name | Virginia L Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295763910 PECOS PAC ID: 7618951054 Enrollment ID: I20040615000381 |
| Provider Name | Melanie Schnoor Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922056647 PECOS PAC ID: 5698747251 Enrollment ID: I20040812000931 |
| Provider Name | Phillip Craig Edmonds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720066038 PECOS PAC ID: 6002872512 Enrollment ID: I20041207000371 |
| Provider Name | Evelyn Brantley Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649239880 PECOS PAC ID: 3971547894 Enrollment ID: I20050613000359 |
| Provider Name | Justin Steven Moll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285671131 PECOS PAC ID: 0749216554 Enrollment ID: I20050713000475 |
| Provider Name | Suzanne Finley Ulmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144269762 PECOS PAC ID: 1658398300 Enrollment ID: I20051101000521 |
| Provider Name | Scott R Dobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689692444 PECOS PAC ID: 6204833213 Enrollment ID: I20061106000360 |
| Provider Name | Todd A Roemmich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649316613 PECOS PAC ID: 5193812337 Enrollment ID: I20071105000023 |
| Provider Name | Erika Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891713012 PECOS PAC ID: 0749378750 Enrollment ID: I20071108000392 |
| Provider Name | Jennifer Davis Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972763886 PECOS PAC ID: 6800969585 Enrollment ID: I20080715000280 |
| Provider Name | Taryn E Tyner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457471617 PECOS PAC ID: 7315011137 Enrollment ID: I20080728000689 |
| Provider Name | Jennifer J Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699782961 PECOS PAC ID: 7113927559 Enrollment ID: I20080916000575 |
| Provider Name | Rebecca S Woodlief |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891705893 PECOS PAC ID: 6709954027 Enrollment ID: I20081014000057 |
| Provider Name | Wendy T Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326252024 PECOS PAC ID: 1850457532 Enrollment ID: I20090304000557 |
| Provider Name | Joseph R West |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861503146 PECOS PAC ID: 4587723788 Enrollment ID: I20090423000555 |
| Provider Name | Jocelyn R Renfrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700801230 PECOS PAC ID: 5193877629 Enrollment ID: I20090715000098 |
| Provider Name | Cara Rhodes Bostrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730341918 PECOS PAC ID: 8729114202 Enrollment ID: I20100414000255 |
| Provider Name | Paige Mccown Rostin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790957066 PECOS PAC ID: 8527240746 Enrollment ID: I20110309000865 |
| Provider Name | Ann W Meade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134180391 PECOS PAC ID: 2668378829 Enrollment ID: I20110525000676 |
| Provider Name | Sarah M Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750549168 PECOS PAC ID: 2668650201 Enrollment ID: I20110629000546 |
| Provider Name | Lisa Marie Baych |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124284120 PECOS PAC ID: 1355534827 Enrollment ID: I20110817000194 |
| Provider Name | Edward Robeson Tinsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679736292 PECOS PAC ID: 1355511064 Enrollment ID: I20120113000308 |
| Provider Name | Precious Denyse Anne Goode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770859753 PECOS PAC ID: 4688835804 Enrollment ID: I20120416000646 |
| Provider Name | Carole Irene Mercer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851550487 PECOS PAC ID: 8325204605 Enrollment ID: I20120801000254 |
| Provider Name | Jamie L Kilcoyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316293947 PECOS PAC ID: 5294982740 Enrollment ID: I20120906000037 |
| Provider Name | Steven Douglas Egge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871552315 PECOS PAC ID: 2567612120 Enrollment ID: I20121017000651 |
| Provider Name | Charlotte Anne Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235451097 PECOS PAC ID: 4082866215 Enrollment ID: I20121214000060 |
| Provider Name | Wilmont G Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235287996 PECOS PAC ID: 1557516416 Enrollment ID: I20130226000026 |
| Provider Name | John D George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164733374 PECOS PAC ID: 1254580509 Enrollment ID: I20130703000380 |
| Provider Name | Erin Bhatia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700107125 PECOS PAC ID: 9638327315 Enrollment ID: I20130904000891 |
| Provider Name | Amy E Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881022234 PECOS PAC ID: 9133357791 Enrollment ID: I20140107000013 |
| Provider Name | Chenille Taylor Eidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689088932 PECOS PAC ID: 0345461414 Enrollment ID: I20141015001474 |
| Provider Name | Leon Buffaloe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366603391 PECOS PAC ID: 8820269277 Enrollment ID: I20150113000265 |
| Provider Name | Grace K Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912344201 PECOS PAC ID: 3971820044 Enrollment ID: I20150330001423 |
| Provider Name | Dorothy S Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679954887 PECOS PAC ID: 0042527293 Enrollment ID: I20150921001094 |
| Provider Name | Lakeisha Shunte Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346613213 PECOS PAC ID: 7113228180 Enrollment ID: I20151216000934 |
| Provider Name | Hanna Marie Epstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295109221 PECOS PAC ID: 6800198532 Enrollment ID: I20160112001321 |
| Provider Name | Elizabeth Sarah Messina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457800815 PECOS PAC ID: 2062792989 Enrollment ID: I20161212002223 |
| Provider Name | James J Sierakowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346539004 PECOS PAC ID: 5698993657 Enrollment ID: I20170727000385 |
| Provider Name | Paige C Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225548613 PECOS PAC ID: 6204195472 Enrollment ID: I20180116000388 |
| Provider Name | Elizabeth Grier Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710077466 PECOS PAC ID: 5294082780 Enrollment ID: I20180713002630 |
| Provider Name | Kelly Whittaker Kline |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215341870 PECOS PAC ID: 8628297728 Enrollment ID: I20180803000819 |
| Provider Name | Vanessa Kanarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962949289 PECOS PAC ID: 2365729001 Enrollment ID: I20180806001620 |
| Provider Name | Andrew James White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972917581 PECOS PAC ID: 9335368349 Enrollment ID: I20180815003364 |
| Provider Name | Amanda Kinney Pruitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033505524 PECOS PAC ID: 3779891627 Enrollment ID: I20180919004015 |
| Provider Name | James Coan Mcalpine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285020958 PECOS PAC ID: 5193045581 Enrollment ID: I20181024002463 |
| Provider Name | Robert Harrington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518919380 PECOS PAC ID: 3678536687 Enrollment ID: I20190215001050 |
| Provider Name | Kathryn H Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710462148 PECOS PAC ID: 0345589768 Enrollment ID: I20190301002304 |
| Provider Name | Christopher M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174056097 PECOS PAC ID: 8022384320 Enrollment ID: I20190617001569 |
| Provider Name | Brittainy Renee Erby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386173029 PECOS PAC ID: 9537434113 Enrollment ID: I20191112003680 |
| Provider Name | Jennifer Hardy Singletary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003116567 PECOS PAC ID: 3577993534 Enrollment ID: I20200415003155 |
| Provider Name | Sarah F Heard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427696418 PECOS PAC ID: 6103256896 Enrollment ID: I20200421000468 |
| Provider Name | Ryan Jeffery Batson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407206071 PECOS PAC ID: 1759676703 Enrollment ID: I20200706001090 |
| Provider Name | Matthew Hardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659869972 PECOS PAC ID: 0840544946 Enrollment ID: I20200812002888 |
| Provider Name | Chandler A Hash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427679414 PECOS PAC ID: 9830500206 Enrollment ID: I20201117000490 |
| Provider Name | Kimberly Beatrice Dean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881980837 PECOS PAC ID: 8729226444 Enrollment ID: I20201204002265 |
| Provider Name | Jonathan Sawaya Lekoshere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720499775 PECOS PAC ID: 8921322355 Enrollment ID: I20210706001679 |
| Provider Name | Jason J Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699205203 PECOS PAC ID: 7416222617 Enrollment ID: I20210712002735 |
| Provider Name | Svetlana Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312087 PECOS PAC ID: 4981948155 Enrollment ID: I20210716000221 |
| Provider Name | Maya Mathew Powers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316914823 PECOS PAC ID: 5193765527 Enrollment ID: I20210817001154 |
| Provider Name | Elizabeth P Hipp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225264823 PECOS PAC ID: 6204232143 Enrollment ID: I20210901001742 |
| Provider Name | Katherine A Minton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205890894 PECOS PAC ID: 4385657782 Enrollment ID: I20210901003234 |
| Provider Name | Maryann J Terzella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770578734 PECOS PAC ID: 1254738172 Enrollment ID: I20210920003303 |
| Provider Name | Sarah K Mcnemar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770920449 PECOS PAC ID: 5294969978 Enrollment ID: I20210920003425 |
| Provider Name | Joseph P Rogers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922495472 PECOS PAC ID: 9032426564 Enrollment ID: I20210920003556 |
| Provider Name | Charise D Ebersole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538564422 PECOS PAC ID: 9931506862 Enrollment ID: I20210920003613 |
| Provider Name | Ashleigh B Gardner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063776615 PECOS PAC ID: 5890192314 Enrollment ID: I20210927002110 |
| Provider Name | Lindsey Brianne Mcamis Gouge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023499530 PECOS PAC ID: 9436466315 Enrollment ID: I20210927003122 |
| Provider Name | Jeremy A Pickell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518227883 PECOS PAC ID: 2466859806 Enrollment ID: I20210927003296 |
| Provider Name | Kathryn K Huguley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427453091 PECOS PAC ID: 9537566971 Enrollment ID: I20210927003372 |
| Provider Name | Stephen M Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255359402 PECOS PAC ID: 8325329493 Enrollment ID: I20210927003466 |
| Provider Name | Hannah W Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255820981 PECOS PAC ID: 1153728597 Enrollment ID: I20210927003496 |
| Provider Name | Alanna Ahlers Nutz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083078364 PECOS PAC ID: 4284902487 Enrollment ID: I20210929003501 |
| Provider Name | Kathryn Ann Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295380046 PECOS PAC ID: 4385041581 Enrollment ID: I20210929003607 |
| Provider Name | Joyce E Slyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891844007 PECOS PAC ID: 1456758655 Enrollment ID: I20210929003692 |
| Provider Name | Jennifer M Heegard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801060371 PECOS PAC ID: 0446578926 Enrollment ID: I20210929003801 |
| Provider Name | Nathan W Heffington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396389367 PECOS PAC ID: 5991102105 Enrollment ID: I20210929003815 |
| Provider Name | Rachel J Sine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124202544 PECOS PAC ID: 5496991416 Enrollment ID: I20210930000260 |
| Provider Name | Daniel Justin Dukes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225357577 PECOS PAC ID: 0446408470 Enrollment ID: I20210930000930 |
| Provider Name | Jennifer L Goldsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104002682 PECOS PAC ID: 4981001120 Enrollment ID: I20210930001321 |
| Provider Name | William Jeffrey Broome |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588924526 PECOS PAC ID: 3173771862 Enrollment ID: I20210930003160 |
| Provider Name | William G Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992286876 PECOS PAC ID: 2567860760 Enrollment ID: I20211001000870 |
| Provider Name | Nicole Evelyn Nassif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205184686 PECOS PAC ID: 9931494366 Enrollment ID: I20211014003320 |
| Provider Name | Jesse Machaela Grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801414909 PECOS PAC ID: 8022409283 Enrollment ID: I20211222001698 |
| Provider Name | Allison L Hutcheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467070862 PECOS PAC ID: 2961893102 Enrollment ID: I20211227000434 |
| Provider Name | Hali H Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033708185 PECOS PAC ID: 5294126330 Enrollment ID: I20211227001041 |
| Provider Name | Lee Glenn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770921421 PECOS PAC ID: 9234363904 Enrollment ID: I20211227001220 |
| Provider Name | Gabrielle A Amarante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255979738 PECOS PAC ID: 4981095049 Enrollment ID: I20211228000191 |
| Provider Name | Kimberly D Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588257786 PECOS PAC ID: 3779974647 Enrollment ID: I20220104000489 |
| Provider Name | Matthew P Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376219659 PECOS PAC ID: 9739571472 Enrollment ID: I20220110001004 |
| Provider Name | Brittiany H Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376048629 PECOS PAC ID: 6305196833 Enrollment ID: I20220119000712 |
| Provider Name | Bonnie P Mctyre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134458441 PECOS PAC ID: 7012302169 Enrollment ID: I20220328001163 |
| Provider Name | James Dilleshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952061657 PECOS PAC ID: 9335536093 Enrollment ID: I20220427001240 |
| Provider Name | Lauren Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205408283 PECOS PAC ID: 8325435704 Enrollment ID: I20220504000594 |
| Provider Name | Sarah Elizabeth Evins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063079788 PECOS PAC ID: 7517299308 Enrollment ID: I20220826002353 |
| Provider Name | Alyssa R Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902469687 PECOS PAC ID: 4486981016 Enrollment ID: I20220827000564 |
| Provider Name | Laura Callaham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891302352 PECOS PAC ID: 3173908902 Enrollment ID: I20220915000993 |
| Provider Name | Megan Winstead Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770016164 PECOS PAC ID: 2163754599 Enrollment ID: I20221012001690 |
| Provider Name | Melissa L Hayslip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225443765 PECOS PAC ID: 0042687758 Enrollment ID: I20221109003347 |
| Provider Name | Meredith Wilkerson Macneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871173047 PECOS PAC ID: 8527476258 Enrollment ID: I20221110000981 |
| Provider Name | Kori L Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285975391 PECOS PAC ID: 8022486828 Enrollment ID: I20221129002824 |
| Provider Name | Madeleine N Prechtel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316656739 PECOS PAC ID: 4789058199 Enrollment ID: I20230327002271 |
| Provider Name | Catherine Eve Enyart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750901534 PECOS PAC ID: 6204257868 Enrollment ID: I20230807002399 |
| Provider Name | Laura Elizabeth Blasko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851914261 PECOS PAC ID: 2062830045 Enrollment ID: I20230817002009 |
| Provider Name | Judy C Hoopes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750949996 PECOS PAC ID: 2567794555 Enrollment ID: I20230821003410 |
| Provider Name | Meredith G Chardukian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699336115 PECOS PAC ID: 5698120434 Enrollment ID: I20231013000715 |
| Provider Name | Stacey L Blazina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679730915 PECOS PAC ID: 3274727615 Enrollment ID: I20231013000831 |
| Provider Name | Krista Furman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316643893 PECOS PAC ID: 6608222542 Enrollment ID: I20231027002760 |
| Provider Name | Carolyne Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891473609 PECOS PAC ID: 5597111476 Enrollment ID: I20231030000573 |
| Provider Name | Katherine L Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053196477 PECOS PAC ID: 5092163394 Enrollment ID: I20231128000260 |
| Provider Name | Daniel T Hughes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518543925 PECOS PAC ID: 3577007343 Enrollment ID: I20240703002254 |
| Provider Name | Courtney N Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033786470 PECOS PAC ID: 2668874264 Enrollment ID: I20240724004104 |
| Provider Name | Rae R Quigley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952795403 PECOS PAC ID: 7315253341 Enrollment ID: I20240807002946 |
| Provider Name | Haley Mae Bizaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851911630 PECOS PAC ID: 3870905664 Enrollment ID: I20240813002119 |
| Provider Name | Victoria Talley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447833280 PECOS PAC ID: 8921484296 Enrollment ID: I20240906002543 |
| Provider Name | Sabrina N Archibald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053992172 PECOS PAC ID: 5496151987 Enrollment ID: I20240910000899 |
| Provider Name | Claudia M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366956393 PECOS PAC ID: 1254872500 Enrollment ID: I20240926001315 |
| Provider Name | Emily E Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083147748 PECOS PAC ID: 4385916113 Enrollment ID: I20241021001226 |
| Provider Name | Holli K Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730607672 PECOS PAC ID: 2668731860 Enrollment ID: I20241021001605 |
| Provider Name | Devon Palermo Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346915394 PECOS PAC ID: 1850739889 Enrollment ID: I20241022002830 |
| Provider Name | Todd R Vasko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114976602 PECOS PAC ID: 3678009487 Enrollment ID: I20241203004575 |
| Provider Name | Phillip J Mcgaha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295786556 PECOS PAC ID: 9931635745 Enrollment ID: I20241203004614 |
| Provider Name | Thomas Plyler Hamilton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417341942 PECOS PAC ID: 8325351729 Enrollment ID: I20241204002543 |
| Provider Name | John A Traynham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073562500 PECOS PAC ID: 3375079080 Enrollment ID: I20241204004107 |
| Provider Name | Jennifer A Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861087736 PECOS PAC ID: 8527594951 Enrollment ID: I20241210000244 |
| Provider Name | Amanda K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225666035 PECOS PAC ID: 6800323767 Enrollment ID: I20241217002864 |
| Provider Name | Anna Tucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942610647 PECOS PAC ID: 5294262408 Enrollment ID: I20241230003497 |
| Provider Name | Dana Mccarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255832598 PECOS PAC ID: 6901325174 Enrollment ID: I20250521002709 |
Pluff Mud Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 896 Kushiwah Creek Dr, Charleston, SC 29412 Phone: 843-259-0591 Fax: 843-769-7288 | |
Good Deeds Case Management Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 Secessionville Rd, Charleston, SC 29412 Phone: 843-697-4587 | |
Avondale Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 845 Savannah Hwy, Suite 1c, Charleston, SC 29407 Phone: 843-870-0278 | |
Charleston Mental Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Cumberland St Ste 120, Charleston, SC 29401 Phone: 843-367-3490 | |
Roper Saint Francis Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Ashley Crossing Dr Ste 135, Charleston, SC 29414 Phone: 843-958-2555 | |
University Medical Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Golden Rule Enhanced Professional Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1072 King St, Suite D, Charleston, SC 29403 Phone: 843-367-8880 |