| Midlands Neurology & Pain Assoc, P.a | |
|
2601 Millwood Ave Midlands Neurology & Pain Assoc, P.a Columbia SC 29205-1218 | |
| (803) 788-0038 | |
| (803) 788-0655 |
| Full Name | Midlands Neurology & Pain Assoc, P.a |
|---|---|
| Speciality | Pain Medicine |
| Location | 2601 Millwood Ave, Columbia, South Carolina |
| Authorized Official Name and Position | E Ogburu-ogbonnaya Md (PRESIDENT CEO) |
| Authorized Official Contact | 8037880038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midlands Neurology & Pain Assoc, P.a Po Box 209 Midlands Neurology & Pain Assoc, P.a State Park SC 29147-0209 Ph: (803) 788-0038 | Midlands Neurology & Pain Assoc, P.a 2601 Millwood Ave Midlands Neurology & Pain Assoc, P.a Columbia SC 29205-1218 Ph: (803) 788-0038 |
| NPI Number | 1629084132 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 11/07/2016 |
| Medicare PECOS PAC ID | 2264491034 |
|---|---|
| Medicare Enrollment ID | O20041007000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629084132 | NPI | - | NPPES |
| GP1403 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 18323 (South Carolina) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 18323 (South Carolina) | Primary |
| Provider Name | Preeth Achuthan Menon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598729386 PECOS PAC ID: 5799844064 Enrollment ID: I20081103000021 |
| Provider Name | Mary B Berry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043409519 PECOS PAC ID: 8022276369 Enrollment ID: I20120216000202 |
| Provider Name | Eleanya Ogburu-ogbonnaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104005941 PECOS PAC ID: 5395793608 Enrollment ID: I20120223000771 |
| Provider Name | Clifford B Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285997833 PECOS PAC ID: 9032435938 Enrollment ID: I20150312001640 |
| Provider Name | Danielle Motley-jennings |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689110215 PECOS PAC ID: 1557636149 Enrollment ID: I20171006003116 |
| Provider Name | Ebony H Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770607327 PECOS PAC ID: 1355693433 Enrollment ID: I20181018001027 |
| Provider Name | Austin Kuhn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245794171 PECOS PAC ID: 8022357235 Enrollment ID: I20190306001665 |
| Provider Name | Sharon E Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750628947 PECOS PAC ID: 8325389612 Enrollment ID: I20190415002151 |
| Provider Name | Porscha M Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427696475 PECOS PAC ID: 7416374657 Enrollment ID: I20200902000778 |
| Provider Name | Iris Jeffcoat, |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104448158 PECOS PAC ID: 5294188744 Enrollment ID: I20240131002703 |
| Provider Name | Tawana N Hayes-newton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023493194 PECOS PAC ID: 1951747633 Enrollment ID: I20240316000168 |
| Provider Name | Nicole Willis Snell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588639652 PECOS PAC ID: 2567801491 Enrollment ID: I20240411002994 |
Kreative Counseling Enrichment Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2110 N Beltline Blvd, Columbia, SC 29204 Phone: 803-261-1621 | |
Counseling & Consulting Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Outlet Pointe Blvd, Columbia, SC 29210 Phone: 803-772-6540 Fax: 803-772-6540 | |
Epworth Children's Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Millwood Ave, Columbia, SC 29205 Phone: 803-212-4793 Fax: 803-212-4287 | |
North Carolina Mentor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Saint Julian Pl Ste 200, Columbia, SC 29204 Phone: 800-388-5150 | |
Latoya Brooks-key, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9600 Two Notch Rd Ste 5, Columbia, SC 29223 Phone: 803-939-6680 | |
Infinite Solutions Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Main St Ste 1980, Columbia, SC 29201 Phone: 803-319-0910 Fax: 803-403-0337 | |
Equilibrium Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Gervais St, Ste 150-258, Columbia, SC 29201 Phone: 803-361-3066 Fax: 866-834-4286 |