| 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 - Family | 
| Location | Agape Senior Primary Care Inc Dba Main Street Physician, Loris, 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 | 
|---|---|---|---|
| 1124347604 | NPI | - | NPPES | 
| NP1730 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F4220 (South Carolina) | Primary | 
| 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: Medicare Enrolled Practice Location: 2828 Bayboro St, Loris, SC 29569 Phone: 843-716-2229 Fax: 843-716-2483  | |
Wanda W Grainger, 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  | |
Jessica Thompson Spivey, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled 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: Medicare Enrolled Practice Location: 2828 Bayboro St, Loris, SC 29569 Phone: 843-716-2229  |