| Novant Health Medical Group, Llc | |
|
6237 Carolina Commons Dr Suite 101 Indian Land SC 29707-6014 | |
| (803) 548-9393 | |
| (803) 548-9590 |
| Full Name | Novant Health Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6237 Carolina Commons Dr, Indian Land, South Carolina |
| Authorized Official Name and Position | Shala Davis (RCS MANAGER) |
| Authorized Official Contact | 7043037517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Medical Group, Llc Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7840 | Novant Health Medical Group, Llc 6237 Carolina Commons Dr Suite 101 Indian Land SC 29707-6014 Ph: (803) 548-9393 |
| NPI Number | 1245335421 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 07/09/2024 |
| Medicare PECOS PAC ID | 1153234893 |
|---|---|
| Medicare Enrollment ID | O20061212000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245335421 | NPI | - | NPPES |
| GP4510 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicholas H Tuttle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447251186 PECOS PAC ID: 9032018015 Enrollment ID: I20040108000751 |
| Provider Name | Stephen F Oehme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861493496 PECOS PAC ID: 0143213801 Enrollment ID: I20040407000804 |
| Provider Name | William Lee Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043275522 PECOS PAC ID: 7911981451 Enrollment ID: I20061219000028 |
| Provider Name | Christopher R Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386632016 PECOS PAC ID: 7012011182 Enrollment ID: I20130122000049 |
| Provider Name | Olatokunbo Efunsami Soyode-etomi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326132804 PECOS PAC ID: 6406080332 Enrollment ID: I20131009000644 |
| Provider Name | Erin Rushing Kersey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386085702 PECOS PAC ID: 6901032200 Enrollment ID: I20131114001538 |
| Provider Name | Taisha C'mone Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679884803 PECOS PAC ID: 6103123278 Enrollment ID: I20160405001180 |
| Provider Name | Sheri Jamal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417245671 PECOS PAC ID: 8820388333 Enrollment ID: I20160610001632 |
| Provider Name | Sara Swanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770962607 PECOS PAC ID: 1355631920 Enrollment ID: I20180927000111 |
| Provider Name | Sarah Gertrude Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861056137 PECOS PAC ID: 1850626078 Enrollment ID: I20220808003474 |
| Provider Name | Keyeriashon Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801271713 PECOS PAC ID: 9032492343 Enrollment ID: I20240123000017 |
| Provider Name | Mauricio Valencia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962453647 PECOS PAC ID: 7012102445 Enrollment ID: I20240731001983 |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9623 Redstone Dr, Ste 300, Indian Land, SC 29707 Phone: 704-667-4840 | |
Quantum Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Edgewater Corporate Pkwy, Indian Land, SC 29707 Phone: 704-763-5117 | |
Kds Consultants, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 Phone: 803-285-1082 Fax: 803-283-4329 | |
Mecklenburg Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7666 Charlotte Hwy, Ste 200, Indian Land, SC 29707 Phone: 803-431-8225 | |
Palmetto Medical Group, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Edgewater Corporate Pkwy Suite 101, Indian Land, SC 29707 Phone: 803-548-7007 | |
Mecklenburg Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7666 Charlotte Highway, Suite 200, Indian Land, SC 29707 Phone: 704-302-9600 Fax: 803-431-8225 |