| Partnermd South Carolina, P.c. | |
|
3535 Pelham Rd Ste 101 Greenville SC 29615-4108 | |
| (864) 315-1300 | |
| (864) 315-1301 |
| Full Name | Partnermd South Carolina, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 3535 Pelham Rd Ste 101, Greenville, South Carolina |
| Authorized Official Name and Position | James D Mumper (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8042822655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partnermd South Carolina, P.c. 7001 Forest Ave Ste 302 Richmond VA 23230-1726 Ph: (804) 282-2655 | Partnermd South Carolina, P.c. 3535 Pelham Rd Ste 101 Greenville SC 29615-4108 Ph: (864) 315-1300 |
| NPI Number | 1316284300 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 03/03/2023 |
| Medicare PECOS PAC ID | 9931345766 |
|---|---|
| Medicare Enrollment ID | O20130423000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316284300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD9313 (South Carolina) | Primary |
| Provider Name | Jack C Durham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255371381 PECOS PAC ID: 6901848860 Enrollment ID: I20050601000762 |
| Provider Name | Jim D Burford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679508394 PECOS PAC ID: 4486654563 Enrollment ID: I20070115000221 |
| Provider Name | William Anthony Messer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700814985 PECOS PAC ID: 5991895773 Enrollment ID: I20071217000546 |
| Provider Name | Jana K Morse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689763757 PECOS PAC ID: 0042492357 Enrollment ID: I20110308000719 |
| Provider Name | Terence Owen Lillis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649222142 PECOS PAC ID: 5597922328 Enrollment ID: I20220401002167 |
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