| Cherokee Community Care, LLC | |
|
1307 N Logan St Gaffney SC 29341-2026 | |
| (864) 488-1333 | |
| Not Available |
| Full Name | Cherokee Community Care, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1307 N Logan St, Gaffney, South Carolina |
| Authorized Official Name and Position | Lena Connie Stuart (OWNER/OFFICE MANAGER) |
| Authorized Official Contact | 8644881333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherokee Community Care, LLC 1307 N Logan St Gaffney SC 29341-2026 Ph: (864) 488-1333 | Cherokee Community Care, LLC 1307 N Logan St Gaffney SC 29341-2026 Ph: (864) 488-1333 |
| NPI Number | 1003462151 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Medicare PECOS PAC ID | 6406187855 |
|---|---|
| Medicare Enrollment ID | O20191115001042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003462151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Timothy Ross Stuart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952558058 PECOS PAC ID: 9830120922 Enrollment ID: I20050829000595 |
| Provider Name | Marian J Wasson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881665685 PECOS PAC ID: 7618034307 Enrollment ID: I20090325000103 |
| Provider Name | Amanda F Broome |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902088867 PECOS PAC ID: 2062693625 Enrollment ID: I20110302000426 |
| Provider Name | Kathleen Gilfillan Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649789579 PECOS PAC ID: 5799046108 Enrollment ID: I20180228000443 |
Cmc-center for Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 139 Medical Center Dr, Gaffney, SC 29340 Phone: 864-487-7186 Fax: 864-487-7246 |
Cmc-center for Family Medicine-grassy Pond Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Chesnee Hwy Ste A, Gaffney, SC 29341 Phone: 864-487-7655 Fax: 864-487-8718 |
Novant Health Grassy Pond Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Chesnee Hwy, Suite A, Gaffney, SC 29341 Phone: 864-487-7655 Fax: 864-487-8718 |
Medical Group of the Carolinas - Family Medicine - Gaffney Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 N Limestone St, Gaffney, SC 29340 Phone: 864-489-3360 Fax: 864-560-4413 |
Dtna Occ - Gaffney Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Woodland Rd, Gaffney, SC 29341 Phone: 864-301-8325 Fax: 864-489-1949 |
Medical Group of the Carolinas - Gaffney Family Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stuard St, Gaffney, SC 29341 Phone: 864-488-9500 Fax: 864-489-9200 |