| Carolina Health Specialists | |
|
906 Medical Cir Myrtle Beach SC 29572-4114 | |
| (843) 497-5929 | |
| (866) 778-9613 |
| Full Name | Carolina Health Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 906 Medical Cir, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Kari Vereen (DIRECTOR) |
| Authorized Official Contact | 8434975929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Health Specialists Po Box 3439 North Myrtle Beach SC 29582-0439 Ph: (843) 839-4447 | Carolina Health Specialists 906 Medical Cir Myrtle Beach SC 29572-4114 Ph: (843) 497-5929 |
| NPI Number | 1215464227 |
|---|---|
| Provider Enumeration Date | 05/22/2017 |
| Last Update Date | 11/16/2020 |
| Medicare PECOS PAC ID | 1153226576 |
|---|---|
| Medicare Enrollment ID | O20031126000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215464227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
| Provider Name | Scott K Mayhew |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1265439087 PECOS PAC ID: 5698670503 Enrollment ID: I20031204000211 |
| Provider Name | Lisa Elaine Mount |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467443606 PECOS PAC ID: 5799686663 Enrollment ID: I20040115000279 |
| Provider Name | Chad Roger Huberty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407852304 PECOS PAC ID: 4880588169 Enrollment ID: I20040209000769 |
| Provider Name | April L Blue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457350886 PECOS PAC ID: 7810898616 Enrollment ID: I20040303000152 |
| Provider Name | Thaddeus W Golden |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205832193 PECOS PAC ID: 4082505300 Enrollment ID: I20040324000475 |
| Provider Name | Jocelyn A Myers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063498335 PECOS PAC ID: 6507846474 Enrollment ID: I20040721001344 |
| Provider Name | Debby T Desalvo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225034192 PECOS PAC ID: 2365409661 Enrollment ID: I20041218000156 |
| Provider Name | Donald C Eagerton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609872498 PECOS PAC ID: 9133226442 Enrollment ID: I20070522000252 |
| Provider Name | Douglas Conaway |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316944499 PECOS PAC ID: 7214010180 Enrollment ID: I20080215000168 |
| Provider Name | Shannon R Hussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275509739 PECOS PAC ID: 6709945413 Enrollment ID: I20081111000124 |
| Provider Name | Eric Randall Senn |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295733012 PECOS PAC ID: 7517002744 Enrollment ID: I20100226000590 |
| Provider Name | Neil Webster Trask |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861488710 PECOS PAC ID: 0749271302 Enrollment ID: I20100506000366 |
| Provider Name | William E Prenatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316906191 PECOS PAC ID: 8022014026 Enrollment ID: I20120118000846 |
| Provider Name | Kristen Blackburn Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245466960 PECOS PAC ID: 7618125808 Enrollment ID: I20120912000876 |
| Provider Name | Richard Francis Duff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447392444 PECOS PAC ID: 1153455290 Enrollment ID: I20130712000570 |
| Provider Name | Gregory Lee Becker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033107180 PECOS PAC ID: 4688607914 Enrollment ID: I20130726000512 |
| Provider Name | Vaishali Mulesh Swami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497784185 PECOS PAC ID: 4082605647 Enrollment ID: I20140224000951 |
| Provider Name | Thomas Bumbalo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386759488 PECOS PAC ID: 0042233397 Enrollment ID: I20140825000066 |
| Provider Name | Ruth Wieland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184622607 PECOS PAC ID: 7113953829 Enrollment ID: I20141003002284 |
| Provider Name | Karandeep Singh Shergill |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710088356 PECOS PAC ID: 5193723187 Enrollment ID: I20150714001255 |
| Provider Name | Melissa Sue Cimineri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760862767 PECOS PAC ID: 4587977517 Enrollment ID: I20150721000638 |
| Provider Name | James Moreci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982677183 PECOS PAC ID: 1254369036 Enrollment ID: I20150721002797 |
| Provider Name | Anne Ghislaine Larochelle |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760485320 PECOS PAC ID: 3870561855 Enrollment ID: I20151001000459 |
| Provider Name | Gerald Larochelle |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821091489 PECOS PAC ID: 8921163338 Enrollment ID: I20151020000357 |
| Provider Name | Yvonne M Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518294024 PECOS PAC ID: 0648459594 Enrollment ID: I20160929000806 |
| Provider Name | William R Betz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710941133 PECOS PAC ID: 4789618216 Enrollment ID: I20161108002187 |
| Provider Name | David Lazar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225320666 PECOS PAC ID: 4486886801 Enrollment ID: I20170330000214 |
| Provider Name | Salvatore A Zieno |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1568433225 PECOS PAC ID: 0143264630 Enrollment ID: I20170605000302 |
| Provider Name | Alan Bruce Cohen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265461842 PECOS PAC ID: 8820049679 Enrollment ID: I20170925001355 |
| Provider Name | Adam Whitnel Bostick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740496041 PECOS PAC ID: 5890949952 Enrollment ID: I20171010002675 |
| Provider Name | Sara Nabil Khalil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699157214 PECOS PAC ID: 0042568669 Enrollment ID: I20180730002052 |
| Provider Name | Rabih Nayfe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760823553 PECOS PAC ID: 1557590973 Enrollment ID: I20190815001715 |
| Provider Name | Cheryl Ann Lonabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659468114 PECOS PAC ID: 1254305584 Enrollment ID: I20190916002080 |
| Provider Name | Katherine M Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346655834 PECOS PAC ID: 6901024025 Enrollment ID: I20200519003153 |
| Provider Name | Saba Salahuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821595042 PECOS PAC ID: 2163760075 Enrollment ID: I20210525001512 |
| Provider Name | Imran Jawaid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992152961 PECOS PAC ID: 7810234234 Enrollment ID: I20210526000023 |
| Provider Name | Victoria Esther Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356728364 PECOS PAC ID: 0446552483 Enrollment ID: I20211130002114 |
| Provider Name | Chasidy Lynn Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235755984 PECOS PAC ID: 7719372689 Enrollment ID: I20220314000168 |
| Provider Name | David Alexandre Chetrit |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285155010 PECOS PAC ID: 2264810894 Enrollment ID: I20220609001493 |
| Provider Name | Alimitha Monali Kodali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275054991 PECOS PAC ID: 8325479108 Enrollment ID: I20220708003652 |
| Provider Name | James Isernia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144281148 PECOS PAC ID: 1557374758 Enrollment ID: I20220825003601 |
| Provider Name | Rachel L Livengood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053870063 PECOS PAC ID: 8426458795 Enrollment ID: I20221020002276 |
| Provider Name | Rachel Elizabeth Eisenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356939862 PECOS PAC ID: 8729459177 Enrollment ID: I20230120002727 |
| Provider Name | Derek Anthony Pride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952938847 PECOS PAC ID: 5991104606 Enrollment ID: I20230510001334 |
| Provider Name | Ting Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306472238 PECOS PAC ID: 6305246661 Enrollment ID: I20230523001420 |
| Provider Name | Brian Thomas Gorman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437786886 PECOS PAC ID: 5799101366 Enrollment ID: I20230531002890 |
| Provider Name | Mark Matthews |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245348390 PECOS PAC ID: 9537168117 Enrollment ID: I20230907003511 |
| Provider Name | Nicole Bea Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891577607 PECOS PAC ID: 1153779962 Enrollment ID: I20231204002405 |
| Provider Name | Lourdes Luna Limpasuvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073110102 PECOS PAC ID: 3577952183 Enrollment ID: I20240126003550 |
Southeastern Hospitalist Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Traditions Health Of Augusta Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Ronnie Ct Ste D, Myrtle Beach, SC 29579 Phone: 843-504-3421 Fax: 843-504-3422 | |
Strand Regional Specialty Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-2336 Fax: 843-497-2505 | |
Healogics Specialty Physicians Of South Carolina, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5050 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-839-6000 | |
Carolina Health Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4591 Socastee Blvd, Myrtle Beach, SC 29588 Phone: 843-497-5929 Fax: 843-293-1115 | |
La Bella Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Oakheart Rd, Myrtle Beach, SC 29579 Phone: 843-424-3015 | |
Jga Medical Ventures, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4798 Woodview Ln, Myrtle Beach, SC 29575 Phone: 843-828-3352 Fax: 843-357-1471 |