| Sandhills Health Center | |
|
1768 Village Park Dr Ste A1 Orangeburg SC 29118-2457 | |
| (803) 539-2224 | |
| Not Available |
| Full Name | Sandhills Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1768 Village Park Dr Ste A1, Orangeburg, South Carolina |
| Authorized Official Name and Position | Jami Nicole Dybik (CEO) |
| Authorized Official Contact | 8438145177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandhills Health Center 515 Commonwealth Rd Mount Pleasant SC 29466-8313 Ph: (843) 814-5177 | Sandhills Health Center 1768 Village Park Dr Ste A1 Orangeburg SC 29118-2457 Ph: (803) 539-2224 |
| NPI Number | 1376225862 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Medicare PECOS PAC ID | 1759888167 |
|---|---|
| Medicare Enrollment ID | O20251009003924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376225862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Carissa Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20251009004188 |
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