Mcleod Chronic Care Management | |
101 William H Johnson St Ste 290, Florence, SC 29506-2769 | |
(843) 777-6000 | |
(843) 777-5035 |
Full Name | Mcleod Chronic Care Management |
---|---|
Type | Facility |
Speciality | Clinical Nurse Specialist - Chronic Care |
Location | 101 William H Johnson St Ste 290, Florence, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427004738 | NPI | - | NPPES |
GP2470 | Medicaid | SC | |
DPE035 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
364SC2300X | Clinical Nurse Specialist - Chronic Care | (* (Not Available)) | Primary |
Provider Name | John R Mattheis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053361329 PECOS PAC ID: 8729075239 Enrollment ID: I20040427001354 |
Provider Name | Patricia L Litts |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1700990363 PECOS PAC ID: 9739179664 Enrollment ID: I20040513000968 |
Provider Name | Allan R Macdonald |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275591216 PECOS PAC ID: 9032013321 Enrollment ID: I20040611000842 |
Provider Name | Richard R Howell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790743722 PECOS PAC ID: 4789634619 Enrollment ID: I20050127000728 |
Provider Name | Gary H Emerson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1770556169 PECOS PAC ID: 7012964687 Enrollment ID: I20050405001413 |
Provider Name | Susan M Robins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548374259 PECOS PAC ID: 1557380433 Enrollment ID: I20051121000621 |
Provider Name | Walter E Connor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851359889 PECOS PAC ID: 5799796157 Enrollment ID: I20060522000175 |
Provider Name | Ashley T Lowe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194768184 PECOS PAC ID: 1355353038 Enrollment ID: I20060620000301 |
Provider Name | Jeffrey Scharstein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588636161 PECOS PAC ID: 5395741391 Enrollment ID: I20061016000152 |
Provider Name | Douglass P Lilly |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134192313 PECOS PAC ID: 1658377650 Enrollment ID: I20061016000171 |
Provider Name | Charles R Tatum |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558333278 PECOS PAC ID: 1658370762 Enrollment ID: I20061218000370 |
Provider Name | John Barrett Browning |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1548233547 PECOS PAC ID: 1658370747 Enrollment ID: I20061219000432 |
Provider Name | Cynthia E Kolb |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598738619 PECOS PAC ID: 9739188822 Enrollment ID: I20061219000440 |
Provider Name | Hossan A Hassan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346226453 PECOS PAC ID: 4688727340 Enrollment ID: I20090729000258 |
Provider Name | William H Hester |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083672018 PECOS PAC ID: 3476696691 Enrollment ID: I20100210000046 |
Provider Name | Gerard Charles Jebaily |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598723520 PECOS PAC ID: 1557491503 Enrollment ID: I20100617000536 |
Provider Name | Vinay Jagadeesha |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518175777 PECOS PAC ID: 7517152945 Enrollment ID: I20101111000553 |
Provider Name | Lisa E Heichberger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730166430 PECOS PAC ID: 6305820010 Enrollment ID: I20110216000464 |
Provider Name | John William Bingham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457665994 PECOS PAC ID: 9537347166 Enrollment ID: I20110629000333 |
Provider Name | William B Campbell |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1902069156 PECOS PAC ID: 8628225356 Enrollment ID: I20120830000569 |
Provider Name | Daniel J Owens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104828144 PECOS PAC ID: 5597853226 Enrollment ID: I20131011000489 |
Provider Name | Kevin Lee Martin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558504316 PECOS PAC ID: 8628294295 Enrollment ID: I20140717001762 |
Provider Name | Ryan Mackenzie Connor |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1205274693 PECOS PAC ID: 8820219363 Enrollment ID: I20141024002143 |
Provider Name | Marcus O Vaught |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1396001897 PECOS PAC ID: 2567784168 Enrollment ID: I20141210001814 |
Provider Name | Naceme Azizzadeh |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1306192240 PECOS PAC ID: 1052611480 Enrollment ID: I20151207003058 |
Provider Name | Lisa Lanning |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023207784 PECOS PAC ID: 2062596927 Enrollment ID: I20160526002481 |
Provider Name | Brittany A Rainwater |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578931663 PECOS PAC ID: 4789971169 Enrollment ID: I20160928002794 |
Provider Name | Amber D Willis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649443607 PECOS PAC ID: 9537247010 Enrollment ID: I20170228001721 |
Provider Name | Karianne M Yates |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982085916 PECOS PAC ID: 5092013292 Enrollment ID: I20170725000182 |
Provider Name | Eric C Coughlin |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598007908 PECOS PAC ID: 9234379132 Enrollment ID: I20170801001911 |
Provider Name | Candice W Greenan |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1346687290 PECOS PAC ID: 4284935149 Enrollment ID: I20170912000084 |
Provider Name | Frank Moskos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356543193 PECOS PAC ID: 3577655620 Enrollment ID: I20171102003004 |
Provider Name | Louis S Strauss |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669641155 PECOS PAC ID: 1557417490 Enrollment ID: I20171227001165 |
Provider Name | Benjamin M Hinman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700298874 PECOS PAC ID: 5092030072 Enrollment ID: I20190129002525 |
Provider Name | Carmen Cribb Roberts |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659722411 PECOS PAC ID: 8820382567 Enrollment ID: I20190819001030 |
Provider Name | Jenna Jones Maclennan |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1447631387 PECOS PAC ID: 5193014801 Enrollment ID: I20191016000209 |
Provider Name | Lynne M. Klaus |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568901106 PECOS PAC ID: 2466877592 Enrollment ID: I20200805003391 |
Provider Name | Edward Martin Kowal |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1144630690 PECOS PAC ID: 1850516436 Enrollment ID: I20210416000946 |
Provider Name | Jamie Y Driggers |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1356504997 PECOS PAC ID: 1153633011 Enrollment ID: I20210429001808 |
Provider Name | James Johnson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013409234 PECOS PAC ID: 3375881071 Enrollment ID: I20210719001456 |
Provider Name | Winston Plunkett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407351869 PECOS PAC ID: 7214360122 Enrollment ID: I20210805001102 |
Provider Name | Eric Charles Hart |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790277911 PECOS PAC ID: 6507102134 Enrollment ID: I20210826003091 |
Provider Name | Michael J Shea |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164050373 PECOS PAC ID: 2860816527 Enrollment ID: I20211117002204 |
Provider Name | Tabitha Davis Stellato |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093164295 PECOS PAC ID: 4880972447 Enrollment ID: I20211122001566 |
Provider Name | Pamela Denise Singletary |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386180438 PECOS PAC ID: 9133511207 Enrollment ID: I20220121002400 |
Provider Name | Virginia M Ferguson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588197057 PECOS PAC ID: 0345570008 Enrollment ID: I20220317001381 |
Provider Name | April Campbell |
---|---|
Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1710301718 PECOS PAC ID: 4981836608 Enrollment ID: I20220715000429 |
Provider Name | Laine B Way |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114487519 PECOS PAC ID: 0345570180 Enrollment ID: I20220812000099 |
Provider Name | Willie Mark Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801422878 PECOS PAC ID: 6901220706 Enrollment ID: I20230807004026 |
Provider Name | Anna G Carstens |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1366170706 PECOS PAC ID: 9335502822 Enrollment ID: I20230831000979 |
Provider Name | Maureen E Finger |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1699479972 PECOS PAC ID: 1951764299 Enrollment ID: I20230904000190 |
Provider Name | Kendra J Baker |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1811691173 PECOS PAC ID: 0840653085 Enrollment ID: I20230905004031 |
Provider Name | Riley Daniel Little |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588292569 PECOS PAC ID: 1951725753 Enrollment ID: I20230928002468 |
Provider Name | Donna L Atkinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699707596 PECOS PAC ID: 8729189246 Enrollment ID: I20240429001050 |
Mailing Address | Practice Location Address |
---|---|
Mcleod Chronic Care Management Po Box 100567, Florence, SC 29502-0567 Ph: (843) 777-4428 | Mcleod Chronic Care Management 101 William H Johnson St Ste 290, Florence, SC 29506-2769 Ph: (843) 777-6000 |