| Reliant Geriatrics, Inc. | |
|
3523 Pelham Rd, Suite C Greenville SC 29615-4191 | |
| (864) 306-0966 | |
| (864) 306-2544 |
| Full Name | Reliant Geriatrics, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3523 Pelham Rd, Suite C, Greenville, South Carolina |
| Authorized Official Name and Position | Richard Lawrence Sherman (OWNER) |
| Authorized Official Contact | 8643060966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliant Geriatrics, Inc. P.o. Box 14611 Greenville SC 29610-4611 Ph: (864) 306-0966 | Reliant Geriatrics, Inc. 3523 Pelham Rd, Suite C Greenville SC 29615-4191 Ph: (864) 306-0966 |
| NPI Number | 1922080787 |
|---|---|
| Provider Enumeration Date | 11/17/2005 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Medicare PECOS PAC ID | 0941271035 |
|---|---|
| Medicare Enrollment ID | O20040803000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922080787 | NPI | - | NPPES |
| CJ3373 | Other | SC | RAILROAD |
| GP3280 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (NU) | Primary |
| Provider Name | Christopher S Montjoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407899081 PECOS PAC ID: 5698676450 Enrollment ID: I20040115000820 |
| Provider Name | Barto Paul Kellett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316058837 PECOS PAC ID: 6103800545 Enrollment ID: I20040615000349 |
| Provider Name | Virginia L Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295763910 PECOS PAC ID: 7618951054 Enrollment ID: I20040615000381 |
| Provider Name | Merrylee a Mullinax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013999879 PECOS PAC ID: 5294865580 Enrollment ID: I20100614000046 |
| Provider Name | Lawrence King Hill |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023060894 PECOS PAC ID: 6305805201 Enrollment ID: I20110805000643 |
| Provider Name | Norris W Whitlock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386628956 PECOS PAC ID: 6406026574 Enrollment ID: I20110826000737 |
| Provider Name | Richard W Kemmerlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346397486 PECOS PAC ID: 2062585607 Enrollment ID: I20120430000428 |
| Provider Name | Krystal D Becks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841548591 PECOS PAC ID: 1557513918 Enrollment ID: I20121211000016 |
| Provider Name | Elizabeth Mary Hernick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144455601 PECOS PAC ID: 2466598974 Enrollment ID: I20150413000911 |
| Provider Name | Charity L Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124490016 PECOS PAC ID: 5890090328 Enrollment ID: I20160222002077 |
| Provider Name | Chelsea M Harvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679002695 PECOS PAC ID: 2567722549 Enrollment ID: I20180213000673 |
| Provider Name | Heather Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619462637 PECOS PAC ID: 5193075455 Enrollment ID: I20180906002397 |
| Provider Name | Daisy W Meador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437614880 PECOS PAC ID: 7810224045 Enrollment ID: I20190812001837 |
| Provider Name | Sarah a Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720604366 PECOS PAC ID: 0941626279 Enrollment ID: I20200818001730 |
| Provider Name | Sharon L Guillebeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669252219 PECOS PAC ID: 5496243933 Enrollment ID: I20251024002705 |
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