| Visions Medical Healthcare Services | |
|
169 Hall St Spartanburg SC 29302-1523 | |
| (864) 358-9278 | |
| (864) 751-5352 |
| Full Name | Visions Medical Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 169 Hall St, Spartanburg, South Carolina |
| Authorized Official Name and Position | Tamieka Latrell Alston-gibson (OWNER/OPERATOR) |
| Authorized Official Contact | 8643589278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visions Medical Healthcare Services 551 Branch Wood Dr Boiling Springs SC 29316-4838 Ph: (864) 358-9278 | Visions Medical Healthcare Services 169 Hall St Spartanburg SC 29302-1523 Ph: (864) 358-9278 |
| NPI Number | 1730667247 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 09/02/2025 |
| Medicare PECOS PAC ID | 8224377445 |
|---|---|
| Medicare Enrollment ID | O20190306002026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730667247 | NPI | - | NPPES |
| 1902273808 | Medicaid | NC | |
| NP3545 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 19703 (South Carolina) | Secondary |
| Provider Name | Tamieka L Alston-gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902273808 PECOS PAC ID: 4789987579 Enrollment ID: I20160128001780 |
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