| Sandhills Medical Foundation, Inc. | |
|
645 S. 7th Street Mcbee SC 29101 | |
| (843) 335-8291 | |
| (843) 335-8291 |
| Full Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 645 S. 7th Street, Mcbee, South Carolina |
| Authorized Official Name and Position | Ernest James Stanley Wardlaw (CEO) |
| Authorized Official Contact | 8433358291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandhills Medical Foundation, Inc. Po Box 366 Mc Bee SC 29101-0366 Ph: (843) 335-8291 | Sandhills Medical Foundation, Inc. 645 S. 7th Street Mcbee SC 29101 Ph: (843) 335-8291 |
| NPI Number | 1568541597 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 8224949821 |
|---|---|
| Medicare Enrollment ID | O20031126000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568541597 | NPI | - | NPPES |
| FQC005 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 421826 (South Carolina) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Alfred R Frye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518928837 PECOS PAC ID: 4284528191 Enrollment ID: I20040211000906 |
| Provider Name | Lisa Leigh Corum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174524821 PECOS PAC ID: 8628968583 Enrollment ID: I20040317000197 |
| Provider Name | Ayodele A Ogunfowora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073578506 PECOS PAC ID: 7810982808 Enrollment ID: I20040419000906 |
| Provider Name | Jacques R Days |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871567818 PECOS PAC ID: 7618963315 Enrollment ID: I20040420001330 |
| Provider Name | Deidre Jane Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902878218 PECOS PAC ID: 5496729592 Enrollment ID: I20040824000954 |
| Provider Name | Allison K Hamada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831304880 PECOS PAC ID: 3678652872 Enrollment ID: I20080429000704 |
| Provider Name | Lisa Dawn Clyburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235380254 PECOS PAC ID: 1153489190 Enrollment ID: I20081021000290 |
| Provider Name | Akinwale O Olatosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740201680 PECOS PAC ID: 9133285513 Enrollment ID: I20090310000389 |
| Provider Name | Angela S Mearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871764522 PECOS PAC ID: 0749326742 Enrollment ID: I20091005000746 |
| Provider Name | Karen Clyburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215181789 PECOS PAC ID: 3577758903 Enrollment ID: I20101111000612 |
| Provider Name | William Lee Wagers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891709143 PECOS PAC ID: 0143416628 Enrollment ID: I20101123000491 |
| Provider Name | Nigel E Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659602506 PECOS PAC ID: 6709075062 Enrollment ID: I20110118001109 |
| Provider Name | David E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619121290 PECOS PAC ID: 5698913994 Enrollment ID: I20130528000582 |
| Provider Name | Bi Akwen Tadzong-fomundam |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1710148648 PECOS PAC ID: 1850617770 Enrollment ID: I20150311001329 |
| Provider Name | Sharon T Browning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023049954 PECOS PAC ID: 9739146002 Enrollment ID: I20150324002114 |
| Provider Name | Clifford W Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861735086 PECOS PAC ID: 0345475984 Enrollment ID: I20160802002970 |
| Provider Name | Montrice Curenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336695618 PECOS PAC ID: 8022305267 Enrollment ID: I20161003000351 |
| Provider Name | Janice M Wiggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376594101 PECOS PAC ID: 6709780224 Enrollment ID: I20170621002884 |
| Provider Name | Jacquelyn Suzanne Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194145615 PECOS PAC ID: 3779704010 Enrollment ID: I20171024003274 |
| Provider Name | Randall Wendt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295779114 PECOS PAC ID: 3173532637 Enrollment ID: I20180112000039 |
| Provider Name | Gertrude E Stoney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326547431 PECOS PAC ID: 1052673001 Enrollment ID: I20180403000639 |
| Provider Name | Jamie E Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861992810 PECOS PAC ID: 7416212105 Enrollment ID: I20180530001611 |
| Provider Name | Ayzia L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205371754 PECOS PAC ID: 3971849209 Enrollment ID: I20190108001996 |
| Provider Name | Laura Alberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720075393 PECOS PAC ID: 8820422363 Enrollment ID: I20191217000073 |
| Provider Name | Ashley M Tolbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679979231 PECOS PAC ID: 1658705702 Enrollment ID: I20191223001660 |
| Provider Name | Anna Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033387998 PECOS PAC ID: 8729409834 Enrollment ID: I20200527003443 |
| Provider Name | Robin M Fuchs |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1346602596 PECOS PAC ID: 9830482447 Enrollment ID: I20200824000578 |
| Provider Name | Kenya E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588285480 PECOS PAC ID: 2062810203 Enrollment ID: I20230307000674 |
| Provider Name | Kelly M Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164009395 PECOS PAC ID: 7416316690 Enrollment ID: I20230706001688 |
| Provider Name | Suzette D Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851964571 PECOS PAC ID: 0345638060 Enrollment ID: I20240208003347 |
| Provider Name | Latyce K Locker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427497742 PECOS PAC ID: 7012454838 Enrollment ID: I20240730000304 |
| Provider Name | Elizabeth M Vandermark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437999349 PECOS PAC ID: 2860931524 Enrollment ID: I20240826002045 |
| Provider Name | Morgan Lane Magee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639959182 PECOS PAC ID: 5890222954 Enrollment ID: I20241231002381 |
| Provider Name | Geneva Bradshaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609290907 PECOS PAC ID: 6709309354 Enrollment ID: I20250325001711 |