| Tracie D Smith, NP | |
| 100 Omni Dr, Suite B, Seneca, SC 29672-9448 | |
| (864) 482-2350 | |
| (864) 482-2355 | 
| Full Name | Tracie D Smith | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 100 Omni Dr, Seneca, 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 | 
|---|---|---|---|
| 1053381319 | NPI | - | NPPES | 
| GP4697 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN2677 (South Carolina) | Primary | 
| Entity Name | St Francis Physician Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871895771 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259 | 
| Entity Name | Bon Secours Medical Group Greenville Specialty Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070 | 
| Entity Name | Atreus Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154034080 PECOS PAC ID: 7315310976 Enrollment ID: O20230301000955 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tracie D Smith, NP 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044 | Tracie D Smith, NP 100 Omni Dr, Suite B, Seneca, SC 29672-9448 Ph: (864) 482-2350 | 
| Elise Barbara Babineau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Keowee School Rd, Seneca, SC 29672 Phone: 864-884-7129 Fax: 864-882-7240 | |
| Carol Meltzer Beckenhauer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12016 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-6141 Fax: 864-882-6680 | |
| Shana M Collins-smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12016 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-6141 Fax: 864-882-6680 | |
| Adam Christopher Campbell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10630 Clemson Blvd Ste 100, Seneca, SC 29678 Phone: 864-482-6000 | |
| Mrs. Jessica Ann Mullis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13400 Clemson Blvd, Seneca, SC 29678 Phone: 864-506-8990 | |
| Vanessa Anne Smith, A-GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Keowee School Rd, Seneca, SC 29672 Phone: 864-885-7129 Fax: 864-882-7240 | |
| Ann-elizabeth Holt Platt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Stork Way, Seneca, SC 29678 Phone: 864-800-0100 Fax: 864-800-0101 |