| New Horizon Family Health Services, Inc. | |
|
130 Mallard St Greenville SC 29601-4046 | |
| (864) 233-1534 | |
| (864) 233-2618 |
| Full Name | New Horizon Family Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 Mallard St, Greenville, South Carolina |
| Authorized Official Name and Position | Regina M Mitchell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8643126001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizon Family Health Services, Inc. Po Box 287 Greenville SC 29602-0287 Ph: (864) 312-6001 | New Horizon Family Health Services, Inc. 130 Mallard St Greenville SC 29601-4046 Ph: (864) 233-1534 |
| NPI Number | 1205949757 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 12/06/2012 |
| Medicare PECOS PAC ID | 8224949698 |
|---|---|
| Medicare Enrollment ID | O20031106000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205949757 | NPI | - | NPPES |
| FQC029 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | N/A (South Carolina) | Primary |
| Provider Name | Shannon Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144204405 PECOS PAC ID: 8729079850 Enrollment ID: I20040519000292 |
| Provider Name | John Henry Schrank |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194777821 PECOS PAC ID: 8426031428 Enrollment ID: I20040610001112 |
| Provider Name | John William Kelly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457305211 PECOS PAC ID: 1557344561 Enrollment ID: I20040610001152 |
| Provider Name | Joy M Mcfarland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164461638 PECOS PAC ID: 2062487978 Enrollment ID: I20040901001212 |
| Provider Name | Mark Douglas Call |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548210115 PECOS PAC ID: 6305886995 Enrollment ID: I20050503000806 |
| Provider Name | Jackson B Bruce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063597243 PECOS PAC ID: 3476584236 Enrollment ID: I20050822001311 |
| Provider Name | John P Cotter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548328271 PECOS PAC ID: 5890891469 Enrollment ID: I20070430000003 |
| Provider Name | Judy A Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033411756 PECOS PAC ID: 2264612613 Enrollment ID: I20110202000556 |
| Provider Name | Deanna Cotter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841368826 PECOS PAC ID: 1951583244 Enrollment ID: I20110308000513 |
| Provider Name | David Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942380621 PECOS PAC ID: 6901088228 Enrollment ID: I20110308000780 |
| Provider Name | Donna K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588853956 PECOS PAC ID: 6507048337 Enrollment ID: I20110315000563 |
| Provider Name | Priyadarshini K Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215084975 PECOS PAC ID: 8123291028 Enrollment ID: I20111108000846 |
| Provider Name | Rhett Mckey Shirley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003825944 PECOS PAC ID: 5890960728 Enrollment ID: I20111205000653 |
| Provider Name | Andrea Cover Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619261393 PECOS PAC ID: 9133375165 Enrollment ID: I20120807000917 |
| Provider Name | Roshni Naresh Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629320023 PECOS PAC ID: 7810149010 Enrollment ID: I20121217000279 |
| Provider Name | Rebecka Mclaurin Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083958490 PECOS PAC ID: 8224282439 Enrollment ID: I20130215000234 |
| Provider Name | James Johnson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609923416 PECOS PAC ID: 5890973440 Enrollment ID: I20130716000393 |
| Provider Name | Heather Swofford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841639051 PECOS PAC ID: 7416190798 Enrollment ID: I20130905000802 |
| Provider Name | Ann Gilchrist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144541822 PECOS PAC ID: 4789818618 Enrollment ID: I20131009000614 |
| Provider Name | Bonnie G Treado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649611161 PECOS PAC ID: 8325274202 Enrollment ID: I20131125000488 |
| Provider Name | Ann Greene Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396857041 PECOS PAC ID: 9032110101 Enrollment ID: I20140314000606 |
| Provider Name | Michelle J Sproat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720420474 PECOS PAC ID: 0345471066 Enrollment ID: I20140324000021 |
| Provider Name | Lorraine Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437455334 PECOS PAC ID: 2264663814 Enrollment ID: I20140324001054 |
| Provider Name | Prerana Jain Roth |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548434863 PECOS PAC ID: 5991938946 Enrollment ID: I20140429001062 |
| Provider Name | Charles B Eason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700216553 PECOS PAC ID: 1153544309 Enrollment ID: I20140516000316 |
| Provider Name | Jennifer J Schmucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568889715 PECOS PAC ID: 2668696105 Enrollment ID: I20140624000695 |
| Provider Name | Kansas Lee Koran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891107447 PECOS PAC ID: 1052537529 Enrollment ID: I20140721000022 |
| Provider Name | Francisco Javier Rojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598174476 PECOS PAC ID: 4082834304 Enrollment ID: I20141008000181 |
| Provider Name | Cecelia M Baskett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679702856 PECOS PAC ID: 3577701655 Enrollment ID: I20141010000925 |
| Provider Name | Lauren E Isley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992194146 PECOS PAC ID: 6901122894 Enrollment ID: I20150312001372 |
| Provider Name | Kendra Noelle Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437540911 PECOS PAC ID: 6406894401 Enrollment ID: I20150422000550 |
| Provider Name | Deborah J Whittemore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972744795 PECOS PAC ID: 5799832036 Enrollment ID: I20150730011941 |
| Provider Name | Cynthia A Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407239361 PECOS PAC ID: 9032425038 Enrollment ID: I20150908000882 |
| Provider Name | Sherry Sue Kostman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891931770 PECOS PAC ID: 7810050937 Enrollment ID: I20151216000123 |
| Provider Name | Kelley N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235477894 PECOS PAC ID: 9830334218 Enrollment ID: I20160216001879 |
| Provider Name | Emily G Colao |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770839219 PECOS PAC ID: 5890097141 Enrollment ID: I20161014000075 |
| Provider Name | Katrice Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154657625 PECOS PAC ID: 4587706486 Enrollment ID: I20161102001658 |
| Provider Name | Christine O Philpott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083795934 PECOS PAC ID: 0749251460 Enrollment ID: I20170929002904 |
| Provider Name | Heather Marie Whisnant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538460688 PECOS PAC ID: 0143473892 Enrollment ID: I20171227000072 |
| Provider Name | Isabel Dalence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427505114 PECOS PAC ID: 1850671926 Enrollment ID: I20180516000041 |
| Provider Name | Janette Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023582681 PECOS PAC ID: 8325388242 Enrollment ID: I20190312003136 |
| Provider Name | Kashiti G Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720498686 PECOS PAC ID: 2163762196 Enrollment ID: I20190328002447 |
| Provider Name | Amanda Elizabeth Schnee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487093837 PECOS PAC ID: 9335461011 Enrollment ID: I20190909001347 |
| Provider Name | Alexandra Carlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649794868 PECOS PAC ID: 0648525865 Enrollment ID: I20191001000250 |
| Provider Name | Margot Butler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013951516 PECOS PAC ID: 1153386123 Enrollment ID: I20191007001267 |
| Provider Name | Laura L Vail |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801452727 PECOS PAC ID: 0244561850 Enrollment ID: I20191014000978 |
| Provider Name | Jessica Lynn St. John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609279249 PECOS PAC ID: 9133340672 Enrollment ID: I20191106001166 |
| Provider Name | Hannah Elizabeth Springgate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346897642 PECOS PAC ID: 9931534054 Enrollment ID: I20200120000686 |
| Provider Name | Joylyn Daniel Yeazell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821445446 PECOS PAC ID: 0143566307 Enrollment ID: I20200204001068 |
| Provider Name | Mimi Patricia Koontz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972884427 PECOS PAC ID: 2961723192 Enrollment ID: I20200206002676 |
| Provider Name | Brittanie Ryan Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598285587 PECOS PAC ID: 1759655749 Enrollment ID: I20200923000487 |
| Provider Name | Kristina Ann Kearns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548662240 PECOS PAC ID: 1759691397 Enrollment ID: I20210114000081 |
| Provider Name | Amanda E Culp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316613748 PECOS PAC ID: 6204228828 Enrollment ID: I20220111002090 |
| Provider Name | Dawn J Salveson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184034258 PECOS PAC ID: 7810384542 Enrollment ID: I20220428000735 |
| Provider Name | Chukwunyelu Enwezor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740545185 PECOS PAC ID: 8325279763 Enrollment ID: I20220712002450 |
| Provider Name | Jose M Manchego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932673209 PECOS PAC ID: 6002208527 Enrollment ID: I20220907002471 |
| Provider Name | Jessica R Himmelstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205367166 PECOS PAC ID: 1052650819 Enrollment ID: I20221114001915 |
| Provider Name | Ryan Mart |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245763002 PECOS PAC ID: 0143598581 Enrollment ID: I20231004002206 |
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