| Novant Medical Group, Inc. | |
|
1435 Ebenezer Rd Rock Hill SC 29732-2338 | |
| (803) 328-3828 | |
| (803) 328-3879 |
| Full Name | Novant Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1435 Ebenezer Rd, Rock Hill, 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 Medical Group, Inc. Po Box 60447 Charlotte NC 28260-0447 Ph: (803) 328-3828 | Novant Medical Group, Inc. 1435 Ebenezer Rd Rock Hill SC 29732-2338 Ph: (803) 328-3828 |
| NPI Number | 1649227083 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 08/16/2021 |
| Medicare PECOS PAC ID | 1153234893 |
|---|---|
| Medicare Enrollment ID | O20051115000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649227083 | NPI | - | NPPES |
| PA1792 | 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 | William A Belcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104051481 PECOS PAC ID: 2466612767 Enrollment ID: I20120816000173 |
| 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 | Luke C Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609367416 PECOS PAC ID: 7618229550 Enrollment ID: I20200601000451 |
| 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 | Erika Allison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700347622 PECOS PAC ID: 2466785027 Enrollment ID: I20240409003458 |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 1800, Rock Hill, SC 29732 Phone: 803-909-1850 | |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 Workman St, Rock Hill, SC 29730 Phone: 803-325-7710 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1656 Riverchase Blvd, Ste 2400, Rock Hill, SC 29732 Phone: 803-329-5131 | |
Community Medicine Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 Phone: 803-327-2012 Fax: 803-325-7744 | |
Carolinas Physicians Network Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 Anderson Rd S, Rock Hill, SC 29730 Phone: 803-326-3790 | |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |
Shiland Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732 Phone: 803-329-5131 |