| Senior Health Associates, Pa | |
|
101 N Hermitage Rd Beaufort SC 29902-5321 | |
| (803) 699-9073 | |
| (866) 527-0937 |
| Full Name | Senior Health Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 N Hermitage Rd, Beaufort, South Carolina |
| Authorized Official Name and Position | Tracy Owens (OPERATIONS MANAGER) |
| Authorized Official Contact | 8036999073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Health Associates, Pa Po Box 487 Lexington SC 29071-0487 Ph: (803) 699-9073 | Senior Health Associates, Pa 101 N Hermitage Rd Beaufort SC 29902-5321 Ph: (803) 699-9073 |
| NPI Number | 1023155728 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 07/21/2025 |
| Medicare PECOS PAC ID | 6204739881 |
|---|---|
| Medicare Enrollment ID | O20040130000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023155728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (South Carolina) | Primary |
| Provider Name | David Troy Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205832995 PECOS PAC ID: 8325016496 Enrollment ID: I20040917000393 |
| Provider Name | Keith Alexander Guest |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285630020 PECOS PAC ID: 6608771977 Enrollment ID: I20101019001295 |
| Provider Name | Floyd Ashton Cribbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164553020 PECOS PAC ID: 1951580729 Enrollment ID: I20110125001265 |
| Provider Name | Angela Mae Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104121730 PECOS PAC ID: 7315126828 Enrollment ID: I20110128000585 |
| Provider Name | Scottie M Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689948911 PECOS PAC ID: 9739342494 Enrollment ID: I20120917000010 |
| Provider Name | Stephanie A Mccravy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629378054 PECOS PAC ID: 2264667286 Enrollment ID: I20131029001810 |
| Provider Name | Corinne R Ingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558648576 PECOS PAC ID: 0345484622 Enrollment ID: I20180705002983 |
| Provider Name | Janette S Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699257196 PECOS PAC ID: 0143574368 Enrollment ID: I20181106003259 |
| Provider Name | Matthew Warner Cusano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740257831 PECOS PAC ID: 9739166125 Enrollment ID: I20210520002379 |
| Provider Name | Cynthia Dawn Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700254497 PECOS PAC ID: 4385943422 Enrollment ID: I20241002003981 |
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