| Tandem Health Sc | |
|
1278 N Lafayette Dr Sumter SC 29150-2964 | |
| (803) 774-4500 | |
| (803) 774-4627 |
| Full Name | Tandem Health Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1278 N Lafayette Dr, Sumter, South Carolina |
| Authorized Official Name and Position | Annie B Brown (CEO) |
| Authorized Official Contact | 8037744500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tandem Health Sc 1278 N Lafayette Dr Sumter SC 29150-2964 Ph: (803) 774-4500 | Tandem Health Sc 1278 N Lafayette Dr Sumter SC 29150-2964 Ph: (803) 774-4500 |
| NPI Number | 1386630192 |
|---|---|
| Provider Enumeration Date | 09/27/2005 |
| Last Update Date | 10/14/2019 |
| Medicare PECOS PAC ID | 3870575855 |
|---|---|
| Medicare Enrollment ID | O20040603000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386630192 | NPI | - | NPPES |
| FQC048 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | David A Justice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649290362 PECOS PAC ID: 7719878750 Enrollment ID: I20040322000319 |
| Provider Name | Francis V Acaylar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295849008 PECOS PAC ID: 4789660986 Enrollment ID: I20040628001238 |
| Provider Name | Norlica P Washington Finkley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700871308 PECOS PAC ID: 7416922414 Enrollment ID: I20040901001050 |
| Provider Name | Barney L Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548229735 PECOS PAC ID: 8527017110 Enrollment ID: I20050121000020 |
| Provider Name | John J Britton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801865167 PECOS PAC ID: 3476502071 Enrollment ID: I20050121000088 |
| Provider Name | Carol B Alan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932116217 PECOS PAC ID: 0648225698 Enrollment ID: I20050314000283 |
| Provider Name | Katherine M Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972596302 PECOS PAC ID: 7315986742 Enrollment ID: I20050426000841 |
| Provider Name | Charles J Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013982412 PECOS PAC ID: 7810938420 Enrollment ID: I20050513000227 |
| Provider Name | Richard Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275525388 PECOS PAC ID: 7214965482 Enrollment ID: I20050728001219 |
| Provider Name | Nelson H Sturgis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477553337 PECOS PAC ID: 8123021334 Enrollment ID: I20060808000478 |
| Provider Name | John B Pate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295708535 PECOS PAC ID: 1254330319 Enrollment ID: I20061219000186 |
| Provider Name | Samuel C Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629299359 PECOS PAC ID: 0840390647 Enrollment ID: I20070710000008 |
| Provider Name | Annie Brock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518156314 PECOS PAC ID: 6507942596 Enrollment ID: I20080401000344 |
| Provider Name | Donna G Mizelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760427678 PECOS PAC ID: 0042116907 Enrollment ID: I20080711000609 |
| Provider Name | Kimberly Daves Ashley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295867059 PECOS PAC ID: 2961577721 Enrollment ID: I20080813000933 |
| Provider Name | Leslie R Justice |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033211321 PECOS PAC ID: 6103982228 Enrollment ID: I20090409000645 |
| Provider Name | Jonathan P Ashley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124156872 PECOS PAC ID: 5193876928 Enrollment ID: I20090707000599 |
| Provider Name | Jamee H Steen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508831579 PECOS PAC ID: 3779616438 Enrollment ID: I20100802000213 |
| Provider Name | Linda S Crabbe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154349504 PECOS PAC ID: 1153455274 Enrollment ID: I20100811000686 |
| Provider Name | Gene F Dickerson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386698652 PECOS PAC ID: 7810189198 Enrollment ID: I20101005000449 |
| Provider Name | Catherine A Schaefer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457303992 PECOS PAC ID: 8123930823 Enrollment ID: I20101119000876 |
| Provider Name | Russell Victor Brant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508859927 PECOS PAC ID: 3476535469 Enrollment ID: I20101220000909 |
| Provider Name | Joel J Snipe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073714465 PECOS PAC ID: 5092876888 Enrollment ID: I20110223000035 |
| Provider Name | Ashwin A Mallikarjun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184720690 PECOS PAC ID: 1254512890 Enrollment ID: I20110302000154 |
| Provider Name | Giselle T Chandler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629100573 PECOS PAC ID: 1557544129 Enrollment ID: I20110321000532 |
| Provider Name | Sabra S. Custer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164729844 PECOS PAC ID: 9537347463 Enrollment ID: I20110624000172 |
| Provider Name | Allison W Moses |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295939007 PECOS PAC ID: 7810165495 Enrollment ID: I20110726000692 |
| Provider Name | Aboagye Agyenim-boateng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194758243 PECOS PAC ID: 0547363889 Enrollment ID: I20110908002282 |
| Provider Name | Gwenneth Simmonds |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467735431 PECOS PAC ID: 5991962771 Enrollment ID: I20120206000897 |
| Provider Name | Jacqueline Christman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871835637 PECOS PAC ID: 8224277447 Enrollment ID: I20130619000713 |
| Provider Name | Kristy L Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184905283 PECOS PAC ID: 1759504152 Enrollment ID: I20140603000306 |
| Provider Name | Kim J Cortez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902906605 PECOS PAC ID: 6507758935 Enrollment ID: I20140611001749 |
| Provider Name | Jessica E Fralick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962819565 PECOS PAC ID: 4789804774 Enrollment ID: I20140924002556 |
| Provider Name | Bhatraphol Tingpej |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497919831 PECOS PAC ID: 2860620911 Enrollment ID: I20141008001714 |
| Provider Name | Richard A Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003203811 PECOS PAC ID: 0941511000 Enrollment ID: I20150617000228 |
| Provider Name | Lydia C Elliott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275916058 PECOS PAC ID: 0941516504 Enrollment ID: I20150827003283 |
| Provider Name | Robert Noyes Etheridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588007603 PECOS PAC ID: 8729213368 Enrollment ID: I20161026001062 |
| Provider Name | Karen Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184024655 PECOS PAC ID: 0840570172 Enrollment ID: I20161202001608 |
| Provider Name | Elizabeth B Brockinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417328667 PECOS PAC ID: 7719250281 Enrollment ID: I20170905001486 |
| Provider Name | Jacquelyn Suzanne Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194145615 PECOS PAC ID: 3779704010 Enrollment ID: I20171024003274 |
| Provider Name | Yolanda M Newton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841482304 PECOS PAC ID: 2860531969 Enrollment ID: I20171025002185 |
| Provider Name | Eric J Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912326885 PECOS PAC ID: 3971861667 Enrollment ID: I20180102000511 |
| Provider Name | Amanda Haddad |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548585219 PECOS PAC ID: 8022372911 Enrollment ID: I20180430002557 |
| Provider Name | Brittany Lynn Osteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154813780 PECOS PAC ID: 7911255377 Enrollment ID: I20180801004021 |
| Provider Name | Noreen P Post |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235621905 PECOS PAC ID: 3274883640 Enrollment ID: I20180905002266 |
| Provider Name | Frederick C. Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356307441 PECOS PAC ID: 4082632021 Enrollment ID: I20181203002727 |
| Provider Name | Kayla Boykin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366923997 PECOS PAC ID: 7214272699 Enrollment ID: I20181213002178 |
| Provider Name | Michael B Coseo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093200735 PECOS PAC ID: 7911243175 Enrollment ID: I20190108003653 |
| Provider Name | Glenda Pulliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952871055 PECOS PAC ID: 4082882139 Enrollment ID: I20190215002278 |
| Provider Name | Allison Elaine Saran |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982148433 PECOS PAC ID: 2961788344 Enrollment ID: I20190312001210 |
| Provider Name | Kurtis Rodine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679037410 PECOS PAC ID: 5294078663 Enrollment ID: I20190529000056 |
| Provider Name | David C. Turell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558321109 PECOS PAC ID: 1456446988 Enrollment ID: I20190531000822 |
| Provider Name | Binh Vu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740635747 PECOS PAC ID: 4880922566 Enrollment ID: I20190819002779 |
| Provider Name | Paul Wells James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720629512 PECOS PAC ID: 0840626586 Enrollment ID: I20200128003282 |
| Provider Name | Jamie Solaine Shorter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558991711 PECOS PAC ID: 0941638159 Enrollment ID: I20200323002072 |
| Provider Name | Patrice Nicole Ladson Keels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346887650 PECOS PAC ID: 5799106381 Enrollment ID: I20200608001607 |
| Provider Name | Jasmine Calvina Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780207258 PECOS PAC ID: 4688096043 Enrollment ID: I20200612001545 |
| Provider Name | Kimberly Beatrice Dean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881980837 PECOS PAC ID: 8729226444 Enrollment ID: I20201204002265 |
| Provider Name | Shalanda R Webb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912136649 PECOS PAC ID: 3173768371 Enrollment ID: I20201223000412 |
| Provider Name | Shao-zheng Ding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205917887 PECOS PAC ID: 9335161033 Enrollment ID: I20210125001512 |
| Provider Name | Anna Crew Kinney Psomas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962093500 PECOS PAC ID: 1759795776 Enrollment ID: I20210202001511 |
| Provider Name | Alisha J Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922594662 PECOS PAC ID: 0840530655 Enrollment ID: I20210309000918 |
| Provider Name | Mariel Christine Haverdink |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144804048 PECOS PAC ID: 2062811458 Enrollment ID: I20210605000007 |
| Provider Name | Calli Watford |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689262362 PECOS PAC ID: 4082015193 Enrollment ID: I20210628001036 |
| Provider Name | Shineka Latoya Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790370047 PECOS PAC ID: 2668874082 Enrollment ID: I20210708000088 |
| Provider Name | Efua A Wilmot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871099564 PECOS PAC ID: 6305192055 Enrollment ID: I20210819000264 |
| Provider Name | Carol L Landry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154309490 PECOS PAC ID: 9436201472 Enrollment ID: I20211004000813 |
| Provider Name | Cramer A Mccullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770014763 PECOS PAC ID: 2466729314 Enrollment ID: I20211007002675 |
| Provider Name | Sayward Oltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033650213 PECOS PAC ID: 2466701511 Enrollment ID: I20220706000173 |
| Provider Name | Vivien L. Redeye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275820441 PECOS PAC ID: 5597986679 Enrollment ID: I20220831001773 |
| Provider Name | Richard Daryl Huneycutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619538477 PECOS PAC ID: 5698004711 Enrollment ID: I20220909002425 |
| Provider Name | Pamela J Ridley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255409132 PECOS PAC ID: 6204202930 Enrollment ID: I20221020000395 |
| Provider Name | Annalily B Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194215798 PECOS PAC ID: 9739557562 Enrollment ID: I20221128003024 |
| Provider Name | Navpreet Judge |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346591666 PECOS PAC ID: 2163741455 Enrollment ID: I20221229002495 |
| Provider Name | Mallory Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003533357 PECOS PAC ID: 9436521390 Enrollment ID: I20230202002696 |
| Provider Name | Anthony Miles Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447886346 PECOS PAC ID: 3375950371 Enrollment ID: I20230630002712 |
| Provider Name | Jeffrey Hale |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467821025 PECOS PAC ID: 8426410945 Enrollment ID: I20230816000677 |
| Provider Name | Lauren Taylor Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801579297 PECOS PAC ID: 6002266897 Enrollment ID: I20231219004205 |
| Provider Name | Holly Scott Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790468189 PECOS PAC ID: 4183075518 Enrollment ID: I20240110000355 |
Palmetto Adult Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1295 Wilson Hall Rd, Sumter, SC 29150 Phone: 803-905-6800 Fax: 803-905-6810 | |
Sumter Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 Barnette Dr, Sumter, SC 29150 Phone: 803-773-5442 Fax: 803-778-2394 | |
Tandem Health Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Barnette Drive, Sumter, SC 29150 Phone: 803-774-3600 Fax: 803-774-4560 | |
Cfp Specialties Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 385 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-773-5227 Fax: 803-753-9121 | |
Colonial Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Broad St Ste 200, Sumter, SC 29150 Phone: 803-773-5227 Fax: 803-418-0202 | |
Invostix Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 E Wesmark Blvd Ste 2, Sumter, SC 29150 Phone: 803-757-1238 | |
Colonial Family Practice Liberty Street Location Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 674 W Liberty St, Sumter, SC 29150 Phone: 803-773-5227 |