| Jon K Peters, FNP | |
|
7613 Garners Ferry Rd, Columbia, SC 29209-3811 | |
| (839) 600-9190 | |
| (839) 600-9195 |
| Full Name | Jon K Peters |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 7613 Garners Ferry Rd, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720320740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 18204 (South Carolina) | Primary |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Entity Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356397228 PECOS PAC ID: 9032021175 Enrollment ID: O20040303000705 |
| Entity Name | Medcare Express - North Charleston Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457579617 PECOS PAC ID: 7618074899 Enrollment ID: O20070523000200 |
| Entity Name | Carolina Healthchoice Of Columbia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922511658 PECOS PAC ID: 7113289893 Enrollment ID: O20180316000048 |
| Entity Name | Sahaj Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023742327 PECOS PAC ID: 1557744760 Enrollment ID: O20220822002009 |
| Entity Name | Prisma Health Urgent Care Of South Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851000855 PECOS PAC ID: 1254703788 Enrollment ID: O20230210000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon K Peters, FNP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Jon K Peters, FNP 7613 Garners Ferry Rd, Columbia, SC 29209-3811 Ph: (839) 600-9190 |
Richard Hall Iii, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-6095 Fax: 803-758-0120 | |
Latonya Brailsford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 142 Whispering Pines Cir, Columbia, SC 29205 Phone: 803-351-9405 Fax: 803-219-3836 | |
Laketa D Riley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 | |
Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129 | |
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496 | |
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 | |
Tisheila Diane Whitted, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-434-7910 |