| Community Health Center | |
|
3310 Magnolia St Orangeburg SC 29115-1466 | |
| (803) 531-6900 | |
| (803) 531-6907 |
| Full Name | Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3310 Magnolia St, Orangeburg, South Carolina |
| Authorized Official Name and Position | Dondre Wilson (CFO) |
| Authorized Official Contact | 8035316952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center 3310 Magnolia St. Orangeburg SC 29115-1466 Ph: (803) 531-6900 | Community Health Center 3310 Magnolia St Orangeburg SC 29115-1466 Ph: (803) 531-6900 |
| NPI Number | 1144248451 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 2860305075 |
|---|---|
| Medicare Enrollment ID | O20031112000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144248451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Loren D Harter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508864885 PECOS PAC ID: 7517860430 Enrollment ID: I20040129000070 |
| Provider Name | Byron Jackson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265516447 PECOS PAC ID: 3779543194 Enrollment ID: I20041012000089 |
| Provider Name | Dolly S Still |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699887703 PECOS PAC ID: 1658334321 Enrollment ID: I20041104000750 |
| Provider Name | Patricia Riddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447280946 PECOS PAC ID: 2466410865 Enrollment ID: I20050103000336 |
| Provider Name | Yaw Boateng |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053752683 PECOS PAC ID: 8123037801 Enrollment ID: I20060406000690 |
| Provider Name | Julia A Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558389502 PECOS PAC ID: 0143229260 Enrollment ID: I20061218000440 |
| Provider Name | Kathleen A Grabowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386728517 PECOS PAC ID: 5799866547 Enrollment ID: I20080117000483 |
| Provider Name | Sandra J Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093738676 PECOS PAC ID: 9133213317 Enrollment ID: I20080125000010 |
| Provider Name | Bismark Amoah Apraku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396761912 PECOS PAC ID: 2163505926 Enrollment ID: I20080218000034 |
| Provider Name | Catherine P Langford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821145392 PECOS PAC ID: 6608934518 Enrollment ID: I20081022000157 |
| Provider Name | Roland Ivan Saavedra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427011089 PECOS PAC ID: 4183711880 Enrollment ID: I20100726000427 |
| Provider Name | Danielle D Towns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922292416 PECOS PAC ID: 2567595119 Enrollment ID: I20100803000329 |
| Provider Name | Elizabeth Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760402465 PECOS PAC ID: 5193906972 Enrollment ID: I20110228000256 |
| Provider Name | Tingting Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306071170 PECOS PAC ID: 2668629197 Enrollment ID: I20120905000743 |
| Provider Name | Crystal Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831431931 PECOS PAC ID: 8921248659 Enrollment ID: I20130701000378 |
| Provider Name | Amanda Elizabeth Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982037495 PECOS PAC ID: 5698900264 Enrollment ID: I20131107000581 |
| Provider Name | Erin K Godin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326456211 PECOS PAC ID: 1658591466 Enrollment ID: I20140930000185 |
| Provider Name | Vincent Bernard Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053717082 PECOS PAC ID: 9638493356 Enrollment ID: I20150128000714 |
| Provider Name | Lindsay M Hall |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831573625 PECOS PAC ID: 3779883541 Enrollment ID: I20151201000047 |
| Provider Name | Jennifer Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437521556 PECOS PAC ID: 0244533529 Enrollment ID: I20160120001094 |
| Provider Name | Rukudzo Darlington Mazaiwana |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720413917 PECOS PAC ID: 2466755525 Enrollment ID: I20160122001391 |
| Provider Name | Shanel R Dunkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538526256 PECOS PAC ID: 0143526160 Enrollment ID: I20160316002193 |
| Provider Name | Kiana S Heron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104287366 PECOS PAC ID: 6002105434 Enrollment ID: I20160525000393 |
| Provider Name | Michelle P Glover |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154627008 PECOS PAC ID: 9537450457 Enrollment ID: I20160624000445 |
| Provider Name | Verlisha D Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104288844 PECOS PAC ID: 7315232089 Enrollment ID: I20160818002762 |
| Provider Name | Zendrea Govan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013941822 PECOS PAC ID: 7012296270 Enrollment ID: I20161111000870 |
| Provider Name | Julia Mcduffie Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962959031 PECOS PAC ID: 3072894203 Enrollment ID: I20170103000205 |
| Provider Name | Lauren Barbosa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760918437 PECOS PAC ID: 2567731912 Enrollment ID: I20170628003136 |
| Provider Name | Mary C Lasater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760904114 PECOS PAC ID: 4789958927 Enrollment ID: I20170926004119 |
| Provider Name | Yolanda M Newton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841482304 PECOS PAC ID: 2860531969 Enrollment ID: I20171025002185 |
| Provider Name | Brittney Jeanetta Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053832154 PECOS PAC ID: 6204102700 Enrollment ID: I20171030000000 |
| Provider Name | Sabrina A Hanna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720045644 PECOS PAC ID: 5698792059 Enrollment ID: I20180129000321 |
| Provider Name | Ramonica H Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316458599 PECOS PAC ID: 4981964111 Enrollment ID: I20180208002253 |
| Provider Name | Fantasia Izolia Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578055471 PECOS PAC ID: 1951659051 Enrollment ID: I20180807000117 |
| Provider Name | Melanie Kittrell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104312214 PECOS PAC ID: 3173873320 Enrollment ID: I20180910000202 |
| Provider Name | Kayla Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215423975 PECOS PAC ID: 8820349632 Enrollment ID: I20180918001894 |
| Provider Name | Alan Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568405280 PECOS PAC ID: 8123036365 Enrollment ID: I20181129003136 |
| Provider Name | Melissa Coca Moyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427398213 PECOS PAC ID: 6800031931 Enrollment ID: I20190104000835 |
| Provider Name | Marsha L Johnson Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104112606 PECOS PAC ID: 5294965570 Enrollment ID: I20190108003121 |
| Provider Name | Kimberly Smoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801308242 PECOS PAC ID: 2062759822 Enrollment ID: I20190201000185 |
| Provider Name | Stephanie Harry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194196386 PECOS PAC ID: 2264771062 Enrollment ID: I20190221002019 |
| Provider Name | Shante Gleaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699248369 PECOS PAC ID: 1153662606 Enrollment ID: I20190409003653 |
| Provider Name | Rukudzo Darlington Mazaiwana |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720413917 PECOS PAC ID: 2466755525 Enrollment ID: I20190425001969 |
| Provider Name | Quintella Anartica Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164994968 PECOS PAC ID: 7517209059 Enrollment ID: I20190502000016 |
| Provider Name | Angelo Joseph Devivo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326040536 PECOS PAC ID: 2163327792 Enrollment ID: I20190722002624 |
| Provider Name | Hope H Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215499710 PECOS PAC ID: 4688900988 Enrollment ID: I20190724002646 |
| Provider Name | Sherry Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518473420 PECOS PAC ID: 9335471416 Enrollment ID: I20191022001622 |
| Provider Name | Iman Abdul-ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689233090 PECOS PAC ID: 8820421258 Enrollment ID: I20191125002904 |
| Provider Name | Brittany Kohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790331114 PECOS PAC ID: 0042643397 Enrollment ID: I20191127001876 |
| Provider Name | Zandria Fredrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265079263 PECOS PAC ID: 3870929219 Enrollment ID: I20200204000933 |
| Provider Name | Gwendolyn Gray Cashwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720112618 PECOS PAC ID: 4486070984 Enrollment ID: I20200814000280 |
| Provider Name | Teri Galter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851778435 PECOS PAC ID: 6103804687 Enrollment ID: I20200924001042 |
| Provider Name | Chinise Kayanna Clinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023635935 PECOS PAC ID: 2860811064 Enrollment ID: I20201007000381 |
| Provider Name | Kenechi Anuligo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093974305 PECOS PAC ID: 3971787763 Enrollment ID: I20201204001746 |
| Provider Name | Towanna Shanett Lance Enoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982709069 PECOS PAC ID: 1254568355 Enrollment ID: I20210526002470 |
| Provider Name | Melanie Troutman Linett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598340101 PECOS PAC ID: 5698176998 Enrollment ID: I20210624000336 |
| Provider Name | Alison R Knotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700419660 PECOS PAC ID: 8921400425 Enrollment ID: I20210707000345 |
| Provider Name | Uchechi Esochaghi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538706668 PECOS PAC ID: 9436571817 Enrollment ID: I20211012000304 |
| Provider Name | Catherine M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033888953 PECOS PAC ID: 3274926555 Enrollment ID: I20220209001048 |
| Provider Name | Kelsey Shanay Charley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396467718 PECOS PAC ID: 6204203540 Enrollment ID: I20221031000564 |
| Provider Name | Brigitte Jahoor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134780463 PECOS PAC ID: 5496124695 Enrollment ID: I20221209002356 |
| Provider Name | Daysha Rozzay Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396309688 PECOS PAC ID: 9931573441 Enrollment ID: I20230324000698 |
| Provider Name | Jazmin Deanna Townes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528754223 PECOS PAC ID: 0648637850 Enrollment ID: I20230602001731 |
| Provider Name | Leocadie Tchekangoua Mougang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851981104 PECOS PAC ID: 3375900012 Enrollment ID: I20230612000630 |
| Provider Name | Tanya Am Nanongkhai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033748967 PECOS PAC ID: 2264895911 Enrollment ID: I20240104000424 |
Orangeburg Primary Preventive & Occupational Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Broughton Street, Orangeburg, SC 29115 Phone: 803-531-6030 Fax: 803-531-6056 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 Hutto St, Orangeburg, SC 29118 Phone: 803-531-3911 Fax: 803-531-2666 | |
Occ Pro Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Middleton St, Orangeburg, SC 29115 Phone: 803-308-7746 | |
Stefan Montgomery Md Family & Sports Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 Pelham Ct, Orangeburg, SC 29118 Phone: 803-531-8500 | |
Gross Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Holly St, Orangeburg, SC 29115 Phone: 803-531-2722 Fax: 803-531-2743 | |
Andres J. Arias, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-534-5252 Fax: 803-531-0676 |