| Kershaw Clinics Llc | |
|
40 Pinnacle Pkwy Suite 208 Elgin SC 29045-8390 | |
| (803) 424-5165 | |
| (803) 424-5174 |
| Full Name | Kershaw Clinics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 40 Pinnacle Pkwy, Elgin, South Carolina |
| Authorized Official Name and Position | Elizabeth Estep (CFO) |
| Authorized Official Contact | 6157643000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kershaw Clinics Llc 1165 Highway 1 S Suite 300 Lugoff SC 29078-8966 Ph: (803) 438-0872 | Kershaw Clinics Llc 40 Pinnacle Pkwy Suite 208 Elgin SC 29045-8390 Ph: (803) 424-5165 |
| NPI Number | 1033593454 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/15/2015 |
| Medicare PECOS PAC ID | 6608176987 |
|---|---|
| Medicare Enrollment ID | O20151119000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033593454 | NPI | - | NPPES |
| Provider Name | David P Christenberry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1659387801 PECOS PAC ID: 6709790371 Enrollment ID: I20031118000252 |
| Provider Name | Mary L Addis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780604579 PECOS PAC ID: 7719882349 Enrollment ID: I20031205000233 |
| Provider Name | Terry Anthony Godfrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003806266 PECOS PAC ID: 8729075635 Enrollment ID: I20040430000293 |
| Provider Name | Mitchell Todd Alderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942204912 PECOS PAC ID: 2769465418 Enrollment ID: I20040611001294 |
| Provider Name | Francis V Acaylar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295849008 PECOS PAC ID: 4789660986 Enrollment ID: I20040628001238 |
| Provider Name | Deidre Jane Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902878218 PECOS PAC ID: 5496729592 Enrollment ID: I20040824000954 |
| Provider Name | Jack F Scheuer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871544403 PECOS PAC ID: 8628028354 Enrollment ID: I20050131000070 |
| Provider Name | Michelle G Archer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598731556 PECOS PAC ID: 6406883537 Enrollment ID: I20050720000906 |
| Provider Name | Paul A Zimmermann |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629002332 PECOS PAC ID: 6406878149 Enrollment ID: I20051222000291 |
| Provider Name | Rebecca A Fullam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750396388 PECOS PAC ID: 4183653033 Enrollment ID: I20060208000710 |
| Provider Name | Stuart S Haigler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205892882 PECOS PAC ID: 0446274765 Enrollment ID: I20060504000078 |
| Provider Name | Michael A. Riel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568413987 PECOS PAC ID: 5698775096 Enrollment ID: I20070109000382 |
| Provider Name | Guy B Kahler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376506154 PECOS PAC ID: 7618070137 Enrollment ID: I20070321000127 |
| Provider Name | William L Riles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891705737 PECOS PAC ID: 3678572500 Enrollment ID: I20070921000494 |
| Provider Name | Lanneau D Lide |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073549291 PECOS PAC ID: 6103990163 Enrollment ID: I20080808000506 |
| Provider Name | Charlie W Devlin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316987860 PECOS PAC ID: 7416021472 Enrollment ID: I20080808000549 |
| Provider Name | Michael C Foster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780625269 PECOS PAC ID: 9436224839 Enrollment ID: I20080820000137 |
| Provider Name | Stuart Millar Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821060740 PECOS PAC ID: 7810059672 Enrollment ID: I20090105000082 |
| Provider Name | Akinwale O Olatosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740201680 PECOS PAC ID: 9133285513 Enrollment ID: I20090310000389 |
| Provider Name | Ahmad T Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710082425 PECOS PAC ID: 3072407451 Enrollment ID: I20090731000477 |
| Provider Name | John Parrott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073514139 PECOS PAC ID: 3072518356 Enrollment ID: I20100224000806 |
| Provider Name | Edward A Gill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326099912 PECOS PAC ID: 5092840348 Enrollment ID: I20100312000043 |
| Provider Name | Cynthia A Wilberding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487606612 PECOS PAC ID: 9537294970 Enrollment ID: I20100324000224 |
| Provider Name | Tallulah F Holmstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053363887 PECOS PAC ID: 8729113170 Enrollment ID: I20100324000314 |
| Provider Name | James C Mcalpine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851343636 PECOS PAC ID: 2264523729 Enrollment ID: I20100324000381 |
| Provider Name | Julie Ann Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316999196 PECOS PAC ID: 3971638339 Enrollment ID: I20100324000420 |
| Provider Name | Thomas Williamson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124081468 PECOS PAC ID: 7012101124 Enrollment ID: I20101103000210 |
| Provider Name | Milford Berten Hutchinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497747141 PECOS PAC ID: 5991764540 Enrollment ID: I20110119000485 |
| Provider Name | Kimberly Kruse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366745416 PECOS PAC ID: 6608059209 Enrollment ID: I20110318000680 |
| Provider Name | Jennifer Bohnstadt Othersen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376631143 PECOS PAC ID: 9931377124 Enrollment ID: I20110713000668 |
| Provider Name | Kelly Warnock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578850947 PECOS PAC ID: 9436316999 Enrollment ID: I20120210000537 |
| Provider Name | Hina Chaudhry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518259977 PECOS PAC ID: 7012160328 Enrollment ID: I20130118000192 |
| Provider Name | Jeffrey Louis Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760422802 PECOS PAC ID: 9830118793 Enrollment ID: I20131024000528 |
| Provider Name | Virginia E Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588684609 PECOS PAC ID: 0446480628 Enrollment ID: I20140310000555 |
| Provider Name | Kevin Lee Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558504316 PECOS PAC ID: 8628294295 Enrollment ID: I20140717001762 |
| Provider Name | Elizabeth A Harleston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194089789 PECOS PAC ID: 1052537511 Enrollment ID: I20140718002085 |
| Provider Name | Bejal Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154613289 PECOS PAC ID: 9638399488 Enrollment ID: I20141003000235 |
| Provider Name | Ivan T Snowden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720194483 PECOS PAC ID: 2365599156 Enrollment ID: I20150827002105 |
| Provider Name | Sarah C Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386029882 PECOS PAC ID: 6608184064 Enrollment ID: I20151005000954 |
| Provider Name | Manish Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578559860 PECOS PAC ID: 1658474572 Enrollment ID: I20160131000010 |
| Provider Name | Emily Huggins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568802478 PECOS PAC ID: 9739472556 Enrollment ID: I20160801000749 |
| Provider Name | Amanda Garman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710273750 PECOS PAC ID: 7214224377 Enrollment ID: I20160919000287 |
| Provider Name | Jeanann Vawter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043253776 PECOS PAC ID: 3870562333 Enrollment ID: I20170104001328 |
| Provider Name | Ioannis Livaditis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750637633 PECOS PAC ID: 8921376922 Enrollment ID: I20170615001761 |
| Provider Name | Andrea K Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679091128 PECOS PAC ID: 3779849922 Enrollment ID: I20171104000001 |
| Provider Name | Paul Abrams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619264280 PECOS PAC ID: 8729238381 Enrollment ID: I20180112000011 |
| Provider Name | Simon S Waghchoure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528214442 PECOS PAC ID: 1951557636 Enrollment ID: I20180620001161 |
| Provider Name | Kevin Michael Nasky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558441766 PECOS PAC ID: 6103067848 Enrollment ID: I20181022003215 |
| Provider Name | James Coan Mcalpine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285020958 PECOS PAC ID: 5193045581 Enrollment ID: I20181024002463 |
| Provider Name | Jessica Leigh Davis Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598232332 PECOS PAC ID: 8325383532 Enrollment ID: I20181217001551 |
| Provider Name | Ashley Wall Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013493550 PECOS PAC ID: 8921343757 Enrollment ID: I20181221001873 |
Chiropractic Health & Accident Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2547 Main St, Elgin, SC 29045 Phone: 803-408-0965 Fax: 803-408-0966 | |
Kathleen Antonetti, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Bluestem Dr, Elgin, SC 29045 Phone: 337-991-9276 | |
Impact Physician Group, South Carolina Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 Pinnacle Pkwy, Elgin, SC 29045 Phone: 803-438-8890 | |
David Charles Fisher Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 566 Spears Creek Church Rd Ste 102b, Elgin, SC 29045 Phone: 803-995-5555 Fax: 803-828-3795 | |
Gloria Williams Fnp Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 889 Royal Oak Way, Elgin, SC 29045 Phone: 803-730-4221 Fax: 803-767-4971 | |
Kershawhealth Primary Care At Elgin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Pinnacle Parkway, Building 100 Suite 208, Elgin, SC 29045 Phone: 803-424-5165 |