Candace Gregory Malone, NP | |
151 Peachwood Centre Dr, Spartanburg, SC 29301-2575 | |
(864) 560-9627 | |
(864) 562-5470 |
Full Name | Candace Gregory Malone |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 151 Peachwood Centre Dr, Spartanburg, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023550894 | NPI | - | NPPES |
SC9726J577 | Other | SC | MEDICARE PIN |
SC97266084 | Other | SC | MEDICARE PTAN |
SC97266121 | Other | SC | MEDICARE PIN |
NP4260 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 105935 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 20628 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spartanburg Medical Center | Spartanburg, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spartanburg Medical Center | 3072425297 | 912 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235170077 PECOS PAC ID: 3072425297 Enrollment ID: O20040322000577 |
Entity Name | Cherokee Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285275305 PECOS PAC ID: 5991041212 Enrollment ID: O20191220002041 |
Mailing Address | Practice Location Address |
---|---|
Candace Gregory Malone, NP Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Candace Gregory Malone, NP 151 Peachwood Centre Dr, Spartanburg, SC 29301-2575 Ph: (864) 560-9627 |
David H Whiteside, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Boiling Springs Rd, Suite 2500, Spartanburg, SC 29303 Phone: 864-585-5433 Fax: 864-591-4053 | |
Heidi Elizabeth Walsh, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 322 N Pine St, Spartanburg, SC 29302 Phone: 864-582-5099 Fax: 864-597-1260 | |
Shakira Leake, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Mrs. Jacqueline C. Myers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 N Pine St, Spartanburg, SC 29302 Phone: 864-541-0649 | |
Melony C Fowler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 853 N Church St, Suite 620, Spartanburg, SC 29303 Phone: 864-573-7511 Fax: 864-560-1690 | |
Dr. Amanda Boniface Rogers, DNP, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2995 Reidville Rd Ste 210, Spartanburg, SC 29301 Phone: 864-253-8140 Fax: 864-587-0051 | |
Erin Lavette Farr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 841 E Main St Ste C, Spartanburg, SC 29302 Phone: 864-285-4533 Fax: 864-285-4432 |