| Providence House Calls Llc | |
|
500 Lakeshore Pkwy Rock Hill SC 29730-4273 | |
| (803) 818-6955 | |
| (803) 818-6993 |
| Full Name | Providence House Calls Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Lakeshore Pkwy, Rock Hill, South Carolina |
| Authorized Official Name and Position | Beth Taylor (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 8033725884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence House Calls Llc Po Box 10984 Rock Hill SC 29731-0984 Ph: (844) 628-2273 | Providence House Calls Llc 500 Lakeshore Pkwy Rock Hill SC 29730-4273 Ph: (803) 818-6955 |
| NPI Number | 1689912495 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 02/13/2026 |
| Medicare PECOS PAC ID | 1759528250 |
|---|---|
| Medicare Enrollment ID | O20130430000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689912495 | NPI | - | NPPES |
| Provider Name | Richmond P Allan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366494700 PECOS PAC ID: 1254245509 Enrollment ID: I20031119000519 |
| Provider Name | Amit G Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740288323 PECOS PAC ID: 6709775562 Enrollment ID: I20050124000179 |
| Provider Name | Mark A Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326032566 PECOS PAC ID: 5799728036 Enrollment ID: I20050721000038 |
| Provider Name | Dana F Kay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861403164 PECOS PAC ID: 5991703167 Enrollment ID: I20061122000254 |
| Provider Name | William A King |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659352003 PECOS PAC ID: 7810090727 Enrollment ID: I20070314000407 |
| Provider Name | Kevin P Tracy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215993159 PECOS PAC ID: 3870698467 Enrollment ID: I20070410000134 |
| Provider Name | Romin Bharat Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851417729 PECOS PAC ID: 4183777618 Enrollment ID: I20090731000374 |
| Provider Name | Juliette S Saad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558441212 PECOS PAC ID: 5890839625 Enrollment ID: I20100217000810 |
| Provider Name | Michael Lloyd Hughes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497731442 PECOS PAC ID: 3476683517 Enrollment ID: I20100616000212 |
| Provider Name | Donna B Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992801013 PECOS PAC ID: 2860660909 Enrollment ID: I20110715000632 |
| Provider Name | Brandi Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770881195 PECOS PAC ID: 7618147737 Enrollment ID: I20110829000588 |
| Provider Name | Paul Lingoes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891955969 PECOS PAC ID: 0749476802 Enrollment ID: I20120822000797 |
| Provider Name | Troy Mac Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194994210 PECOS PAC ID: 6608930847 Enrollment ID: I20121020000030 |
| Provider Name | Brian E Weirick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669457966 PECOS PAC ID: 4880770551 Enrollment ID: I20121207000309 |
| Provider Name | Kristene C Diggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033299581 PECOS PAC ID: 9032111257 Enrollment ID: I20131216000569 |
| Provider Name | Lisa Gail Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912375759 PECOS PAC ID: 3779886593 Enrollment ID: I20160127002585 |
| Provider Name | Tanya Fuller Pellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639544240 PECOS PAC ID: 3173827250 Enrollment ID: I20160210001473 |
| Provider Name | Amanda Chamelle Ivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770970873 PECOS PAC ID: 9234434143 Enrollment ID: I20160301001299 |
| Provider Name | Marie Myriam Fenelon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518328418 PECOS PAC ID: 7113217423 Enrollment ID: I20160527000717 |
| Provider Name | Keyonta M Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871975805 PECOS PAC ID: 0941517767 Enrollment ID: I20160909001154 |
| Provider Name | Jennifer Ramsey Garren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851833974 PECOS PAC ID: 0840572699 Enrollment ID: I20170131001467 |
| Provider Name | Sharon Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942742465 PECOS PAC ID: 4981971074 Enrollment ID: I20170519001851 |
| Provider Name | Latonya Evette Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356882278 PECOS PAC ID: 0446528921 Enrollment ID: I20170626001716 |
| Provider Name | Nancy Tinoco Farrar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245742519 PECOS PAC ID: 6204193048 Enrollment ID: I20171201002608 |
| Provider Name | Darci Marie Dimitris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164900106 PECOS PAC ID: 7810248184 Enrollment ID: I20180925004192 |
| Provider Name | Tara Brown Garrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033693387 PECOS PAC ID: 9931452414 Enrollment ID: I20181030003315 |
| Provider Name | Kristal Smith Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023583606 PECOS PAC ID: 8921342411 Enrollment ID: I20181211001351 |
| Provider Name | Lynnette K Beyerle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194206540 PECOS PAC ID: 7012252331 Enrollment ID: I20181214000580 |
| Provider Name | Lynn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821599473 PECOS PAC ID: 3870839780 Enrollment ID: I20190115000712 |
| Provider Name | Kimberly Shade Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912477902 PECOS PAC ID: 7113268483 Enrollment ID: I20190415001337 |
| Provider Name | Ashley Thomas Ashford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356803563 PECOS PAC ID: 1052644473 Enrollment ID: I20190617002538 |
| Provider Name | Amanda Claire Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184173205 PECOS PAC ID: 5092097089 Enrollment ID: I20190912003302 |
| Provider Name | Jamie Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518512029 PECOS PAC ID: 6800127077 Enrollment ID: I20191021000412 |
| Provider Name | Rebecca L Kuprys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073980652 PECOS PAC ID: 0648572867 Enrollment ID: I20191105001846 |
| Provider Name | Sommer Lane Kitchin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003453093 PECOS PAC ID: 9234565623 Enrollment ID: I20200203001896 |
| Provider Name | Allison Buryk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174151922 PECOS PAC ID: 1456781327 Enrollment ID: I20200416000534 |
| Provider Name | Meredith Manning Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427699297 PECOS PAC ID: 0143650721 Enrollment ID: I20200422002066 |
| Provider Name | Kelly Taylor Eastergard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538628110 PECOS PAC ID: 0345573713 Enrollment ID: I20200430001890 |
| Provider Name | Jessie G Tenet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740677624 PECOS PAC ID: 2961711122 Enrollment ID: I20200602000003 |
| Provider Name | Andrea Blakeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053954438 PECOS PAC ID: 3072930601 Enrollment ID: I20200827003420 |
| Provider Name | Porscha M Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427696475 PECOS PAC ID: 7416374657 Enrollment ID: I20200902000778 |
| Provider Name | Laura Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528679982 PECOS PAC ID: 1355751173 Enrollment ID: I20201106001472 |
| Provider Name | Lavare Canace Seltun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689108490 PECOS PAC ID: 7113298456 Enrollment ID: I20201113002237 |
| Provider Name | Candice Elaine Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063003440 PECOS PAC ID: 6800202698 Enrollment ID: I20210302001762 |
| Provider Name | Whitney Patterson Stennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629663810 PECOS PAC ID: 4486054491 Enrollment ID: I20210614001037 |
| Provider Name | Julie Ann Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265006811 PECOS PAC ID: 0648671461 Enrollment ID: I20210630001058 |
| Provider Name | Brandy Marshay Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669048484 PECOS PAC ID: 0547662074 Enrollment ID: I20210707000968 |
| Provider Name | Kristina Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548670532 PECOS PAC ID: 0446656417 Enrollment ID: I20210831002572 |
| Provider Name | Nancy Ann Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407427396 PECOS PAC ID: 0446656045 Enrollment ID: I20210907003421 |
| Provider Name | Christian Mckenzie Millis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376116814 PECOS PAC ID: 2860888377 Enrollment ID: I20220411000818 |
| Provider Name | Dana Renee Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295494441 PECOS PAC ID: 4082091327 Enrollment ID: I20220506001444 |
| Provider Name | Rachel Lynn Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215562533 PECOS PAC ID: 8527499359 Enrollment ID: I20220629003636 |
| Provider Name | Pamela Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528050440 PECOS PAC ID: 7012043987 Enrollment ID: I20221202000402 |
| Provider Name | Bruce H Chamberlain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285664078 PECOS PAC ID: 3375599202 Enrollment ID: I20221228001913 |
| Provider Name | Stephenie Kristen Peploe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992294284 PECOS PAC ID: 9436404928 Enrollment ID: I20230210000797 |
| Provider Name | Japonica D Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770823916 PECOS PAC ID: 8123250982 Enrollment ID: I20230309001463 |
| Provider Name | Ndidi Salami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538832803 PECOS PAC ID: 0244690444 Enrollment ID: I20230719004340 |
| Provider Name | Lillian Turnage Pack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619651288 PECOS PAC ID: 3779943808 Enrollment ID: I20230720001304 |
| Provider Name | Jodie Curley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801666110 PECOS PAC ID: 3678000221 Enrollment ID: I20241220002798 |
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 | |
Sahaj Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 231 Herlong Ave S Ste 101, Rock Hill, SC 29732 Phone: 803-281-0304 | |
Catawba Nation Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2893 Sturgis Rd, Rock Hill, SC 29730 Phone: 843-957-9575 | |
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 |