| Carolina Healthchoice | |
|
425 Summit Terrace Ct Bldg 1 Columbia SC 29229-7055 | |
| (803) 939-6141 | |
| Not Available |
| Full Name | Carolina Healthchoice |
|---|---|
| Speciality | General Practice |
| Location | 425 Summit Terrace Ct Bldg 1, Columbia, South Carolina |
| Authorized Official Name and Position | Amber Compton (PRACTICE MANAGER) |
| Authorized Official Contact | 8037640464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Healthchoice 1494 Lake Murray Blvd Ste B Columbia SC 29212-8697 Ph: (803) 939-6141 | Carolina Healthchoice 425 Summit Terrace Ct Bldg 1 Columbia SC 29229-7055 Ph: (803) 939-6141 |
| NPI Number | 1851743389 |
|---|---|
| Provider Enumeration Date | 07/08/2016 |
| Last Update Date | 03/04/2021 |
| Medicare PECOS PAC ID | 3779863097 |
|---|---|
| Medicare Enrollment ID | O20161202001477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851743389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 21520 (South Carolina) | Primary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
| Provider Name | Lorone Cowayne Washington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174628077 PECOS PAC ID: 8921047515 Enrollment ID: I20050906000318 |
| Provider Name | Jennifer Paglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356530497 PECOS PAC ID: 6103915921 Enrollment ID: I20071203000020 |
| Provider Name | Regina Rouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487938825 PECOS PAC ID: 0042484974 Enrollment ID: I20111110000762 |
| Provider Name | Ithamesia Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942770086 PECOS PAC ID: 9234470154 Enrollment ID: I20190402002862 |
| Provider Name | Destiny Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538740915 PECOS PAC ID: 7416356399 Enrollment ID: I20210526000293 |
| Provider Name | Samantha Gwendolyn Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740955251 PECOS PAC ID: 6901204189 Enrollment ID: I20211004001023 |
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