| Cpg Center for Wound Healing | |
|
300 Singleton Ridge Rd Conway SC 29526-9142 | |
| (843) 347-8347 | |
| (843) 234-6977 |
| Full Name | Cpg Center for Wound Healing |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Singleton Ridge Rd, Conway, South Carolina |
| Authorized Official Name and Position | Bret a Barr (CFO) |
| Authorized Official Contact | 8433477111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpg Center for Wound Healing Po Box 2180 Conway SC 29528-2180 Ph: (843) 234-5139 | Cpg Center for Wound Healing 300 Singleton Ridge Rd Conway SC 29526-9142 Ph: (843) 347-8347 |
| NPI Number | 1689928103 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 05/10/2016 |
| Medicare PECOS PAC ID | 9830087774 |
|---|---|
| Medicare Enrollment ID | O20040316000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689928103 | NPI | - | NPPES |
| 7844 | Other | SC | MEDICARE PTAN |
| DC2203 | Other | SC | RAILROAD MEDICARE GROUP |
| GP4505 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Fritz Franklin Frye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124137237 PECOS PAC ID: 8022022490 Enrollment ID: I20060206000730 |
| Provider Name | Ricky Lee Kidman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962466532 PECOS PAC ID: 9032117122 Enrollment ID: I20061128000420 |
| Provider Name | Jessica R Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063968055 PECOS PAC ID: 6901186568 Enrollment ID: I20161219000028 |
| Provider Name | Charles M Frost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144616384 PECOS PAC ID: 6305194523 Enrollment ID: I20180803002974 |
| Provider Name | Ashley Hucks Crago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073070512 PECOS PAC ID: 7214279637 Enrollment ID: I20190503000703 |
| Provider Name | Iridi Pavliqoti |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275096638 PECOS PAC ID: 5890160808 Enrollment ID: I20250211001093 |
| Provider Name | Daniel Khashchuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326797457 PECOS PAC ID: 3678006749 Enrollment ID: I20250916004631 |
Clinic Services of South Carolina PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111 |
Careteam Plus-mobile Unit #2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Park Dr, Conway, SC 29526 Phone: 843-234-0005 |
Sasser Medical Associates LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2361 Cypress Cir, Conway, SC 29526 Phone: 843-347-7291 Fax: 843-347-9309 |
Health Care Partners of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1608 N. Main St, Conway, SC 29526 Phone: 843-248-4700 |
Cmc Primary Care Highway 90 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 |
Health Care Partners of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526 Phone: 843-248-4700 |