| Careteam Plus, Inc. | |
|
239 Business Center Dr Pawleys Island SC 29585-6522 | |
| (843) 234-0005 | |
| Not Available |
| Full Name | Careteam Plus, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 239 Business Center Dr, Pawleys Island, South Carolina |
| Authorized Official Name and Position | Johanna L Haynes (CEO) |
| Authorized Official Contact | 8432348220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careteam Plus, Inc. 100 Professional Park Dr Conway SC 29526-9260 Ph: (843) 234-0005 | Careteam Plus, Inc. 239 Business Center Dr Pawleys Island SC 29585-6522 Ph: (843) 234-0005 |
| NPI Number | 1902673130 |
|---|---|
| Provider Enumeration Date | 12/07/2023 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Medicare PECOS PAC ID | 2961678289 |
|---|---|
| Medicare Enrollment ID | O20120106000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902673130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 208000000X | Pediatrics | (NU) | Secondary |
| Provider Name | James W Adamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114903051 PECOS PAC ID: 9234224908 Enrollment ID: I20070926001187 |
| Provider Name | Sandra Moreno-hussey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093819351 PECOS PAC ID: 9537254719 Enrollment ID: I20071003000176 |
| Provider Name | Penelope Anne Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124084876 PECOS PAC ID: 5698841823 Enrollment ID: I20080911000424 |
| Provider Name | Alfonso Luison Sangtian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598766529 PECOS PAC ID: 1153488671 Enrollment ID: I20090326000512 |
| Provider Name | Julia M Wren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679668792 PECOS PAC ID: 7416005004 Enrollment ID: I20100708000327 |
| Provider Name | James Melvin Lindsey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841291887 PECOS PAC ID: 7113084633 Enrollment ID: I20100813000492 |
| Provider Name | Nyabilondi Huguette Ebama |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467618900 PECOS PAC ID: 1850562976 Enrollment ID: I20120723000033 |
| Provider Name | Jessica R Thasitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356601272 PECOS PAC ID: 2062669781 Enrollment ID: I20120830000478 |
| Provider Name | Brandi Holmes Barnhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932455482 PECOS PAC ID: 3678722568 Enrollment ID: I20121010000012 |
| Provider Name | Christopher Crum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760972574 PECOS PAC ID: 1254682537 Enrollment ID: I20180926000338 |
| Provider Name | Jennifer Leigh Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235576448 PECOS PAC ID: 4688913361 Enrollment ID: I20190222002789 |
| Provider Name | Johanna Maggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053729616 PECOS PAC ID: 5799003836 Enrollment ID: I20190904003185 |
| Provider Name | Lesley Styers Plowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841838869 PECOS PAC ID: 6002244407 Enrollment ID: I20200318001623 |
| Provider Name | Susanne Giana Bentley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063905495 PECOS PAC ID: 1557611027 Enrollment ID: I20210922002100 |
| Provider Name | Heather Nichole Harden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154671204 PECOS PAC ID: 7810146628 Enrollment ID: I20220119002789 |
| Provider Name | Kimberly Soutuyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871998302 PECOS PAC ID: 5294058277 Enrollment ID: I20250703001762 |
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