| Mrs Regina F Holmes, APRN | |
|
Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 | |
| (843) 756-2122 | |
| (843) 756-2121 |
| Full Name | Mrs Regina F Holmes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | Agape Senior Primary Care Inc Dba Main Street Physician, Loris, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124347604 | NPI | - | NPPES |
| NP1730 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F4220 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcleod Loris Seacoast Hospital | 9133394398 | 122 |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Entity Name | Sc House Calls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821 |
| Entity Name | Mcleod Loris Seacoast Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Regina F Holmes, APRN 1053 Center Street, Attention: Credentialing Department, West Columbia, SC 29169 Ph: (800) 726-2350 | Mrs Regina F Holmes, APRN Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 Ph: (843) 756-2122 |
Carla Cox Norris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2828 Bayboro St, Loris, SC 29569 Phone: 843-716-2229 Fax: 843-716-2483 | |
Wanda W Grainger, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3109 Casey St, Suite A, Loris, SC 29569 Phone: 843-756-9292 Fax: 843-756-9260 | |
Jessica Thompson Spivey, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3485 Mitchell St, Loris, SC 29569 Phone: 843-390-0877 | |
Mrs. Julia Batten Hucks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 | |
Mrs. Donna C Sellers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3109 Casey St, Suite A, Loris, SC 29569 Phone: 843-756-9292 Fax: 843-756-9260 | |
Jennifer Roberts, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2828 Bayboro St, Loris, SC 29569 Phone: 843-716-2229 |