| Kimberly Stites, CNM | |
|
2 Medical Park Rd Ste 107, Columbia, SC 29203-6839 | |
| (803) 434-4480 | |
| (803) 434-3340 |
| Full Name | Kimberly Stites |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2 Medical Park Rd Ste 107, 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 |
|---|---|---|---|
| 1104293992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 576 (North Carolina) | Secondary |
| 367A00000X | Advanced Practice Midwife | 24270 (South Carolina) | Primary |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760114664 PECOS PAC ID: 3072425297 Enrollment ID: O20040108000827 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396981403 PECOS PAC ID: 3072425297 Enrollment ID: O20050928000848 |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Stites, CNM 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 695-6697 | Kimberly Stites, CNM 2 Medical Park Rd Ste 107, Columbia, SC 29203-6839 Ph: (803) 434-4480 |
Megan A Crane, NP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Rd Ste 107, Columbia, SC 29203 Phone: 803-434-4480 Fax: 803-434-3340 |
Lydia Elliott, APRN-CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd Ste 107, Columbia, SC 29203 Phone: 803-434-4480 Fax: 803-434-3340 |
Linda J George, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Rd Ste 107, Columbia, SC 29203 Phone: 803-434-4480 Fax: 803-434-3340 |
Mrs. Paige Roberts, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 585 Scarlet Sage Ln, Columbia, SC 29223 Phone: 207-542-3017 |
Ms. Jo Ellen Roberson, RN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2100 Bull St, Columbia, SC 29201 Phone: 251-415-1496 Fax: 251-415-8601 |
Debra L Woda, APRN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Park Rd Ste 107, Columbia, SC 29203 Phone: 803-545-5700 Fax: 803-434-4699 |
Ms. Janne Debes, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Thomson Student Health Center, University Of South Carolina, Columbia, SC 29208 Phone: 803-777-8920 Fax: 803-777-0621 |