| Anmed - Clemson | |
|
885 Tiger Blvd Clemson SC 29631-1480 | |
| (864) 512-7257 | |
| (864) 654-7672 |
| Full Name | Anmed - Clemson |
|---|---|
| Speciality | Family Medicine |
| Location | 885 Tiger Blvd, Clemson, South Carolina |
| Authorized Official Name and Position | Christine Pearson (CFO) |
| Authorized Official Contact | 8645121109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anmed - Clemson Po Box 100174 Columbia SC 29202-3174 Ph: (864) 654-6800 | Anmed - Clemson 885 Tiger Blvd Clemson SC 29631-1480 Ph: (864) 512-7257 |
| NPI Number | 1427005727 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 1951215243 |
|---|---|
| Medicare Enrollment ID | O20040723000885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427005727 | NPI | - | NPPES |
| GP2492 | Medicaid | SC | |
| CJ9897 | Other | RAILROAD MEDICARE |
| Provider Name | Juan Jose Teruel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285673814 PECOS PAC ID: 2769396936 Enrollment ID: I20031113000258 |
| Provider Name | Satish K Surabhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871579888 PECOS PAC ID: 7113818626 Enrollment ID: I20040323001741 |
| Provider Name | Paul Ross Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831175835 PECOS PAC ID: 5597748376 Enrollment ID: I20040623001135 |
| Provider Name | Nathan Bradford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407876477 PECOS PAC ID: 9032196118 Enrollment ID: I20040707000170 |
| Provider Name | Michael Seemuller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245200161 PECOS PAC ID: 9234103664 Enrollment ID: I20040823000501 |
| Provider Name | Brett C Stoll |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093791071 PECOS PAC ID: 2769407576 Enrollment ID: I20051011000684 |
| Provider Name | Elizabeth Hinton Darragh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659501799 PECOS PAC ID: 3779509278 Enrollment ID: I20051024000116 |
| Provider Name | Michelle Bruce Nobles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992777007 PECOS PAC ID: 1153343363 Enrollment ID: I20051230000279 |
| Provider Name | Henry B Hearn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821035627 PECOS PAC ID: 3072537497 Enrollment ID: I20060124000555 |
| Provider Name | Lisa G Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679661748 PECOS PAC ID: 8527075118 Enrollment ID: I20060307000244 |
| Provider Name | Danielle W Shelley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881638302 PECOS PAC ID: 2264445097 Enrollment ID: I20060724000076 |
| Provider Name | Sandhya Pattem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639198856 PECOS PAC ID: 9436155819 Enrollment ID: I20061006000323 |
| Provider Name | Stephen H Hand |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144225566 PECOS PAC ID: 9234135385 Enrollment ID: I20061012000179 |
| Provider Name | Jonathan Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518954551 PECOS PAC ID: 5597764274 Enrollment ID: I20061206000299 |
| Provider Name | John R Wendt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851377816 PECOS PAC ID: 7113927724 Enrollment ID: I20070104000524 |
| Provider Name | Mandy Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912000142 PECOS PAC ID: 0446250500 Enrollment ID: I20070115000056 |
| Provider Name | Matthew S George |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730217829 PECOS PAC ID: 2466551833 Enrollment ID: I20070626000321 |
| Provider Name | Jerry D Champ |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881670941 PECOS PAC ID: 6901791938 Enrollment ID: I20071113000218 |
| Provider Name | Diana D Clemow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164540076 PECOS PAC ID: 1951499292 Enrollment ID: I20071120000215 |
| Provider Name | Kristen Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346449550 PECOS PAC ID: 3870682073 Enrollment ID: I20071210000642 |
| Provider Name | Hui-tzu M Kiang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205956414 PECOS PAC ID: 8123193364 Enrollment ID: I20080822000016 |
| Provider Name | Robert G Quattlebaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083704175 PECOS PAC ID: 3577639095 Enrollment ID: I20080908000343 |
| Provider Name | Robert M Alburo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699979310 PECOS PAC ID: 1456419787 Enrollment ID: I20081015000296 |
| Provider Name | Michelle L Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538280755 PECOS PAC ID: 6406915248 Enrollment ID: I20081107000328 |
| Provider Name | April N Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295961399 PECOS PAC ID: 3072650548 Enrollment ID: I20091103000036 |
| Provider Name | Renee A Monaghan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255393070 PECOS PAC ID: 0941341457 Enrollment ID: I20100106000344 |
| Provider Name | Marion K Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316988975 PECOS PAC ID: 4880738715 Enrollment ID: I20100216000702 |
| Provider Name | Kara Cooper Gilmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437387354 PECOS PAC ID: 1951445816 Enrollment ID: I20100216000987 |
| Provider Name | Stacey G Branyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801837489 PECOS PAC ID: 2769526144 Enrollment ID: I20100223000662 |
| Provider Name | Edmond R Jordan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033173562 PECOS PAC ID: 1254461700 Enrollment ID: I20100610000470 |
| Provider Name | Stephen Cayelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588600308 PECOS PAC ID: 4789714007 Enrollment ID: I20100614000353 |
| Provider Name | James A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033150222 PECOS PAC ID: 9931239167 Enrollment ID: I20100614000650 |
| Provider Name | Karen Y Weise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205856903 PECOS PAC ID: 0840320065 Enrollment ID: I20100615000736 |
| Provider Name | Matthew Roehrs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629015862 PECOS PAC ID: 3870624711 Enrollment ID: I20100622000162 |
| Provider Name | David Liebman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649234261 PECOS PAC ID: 9032240098 Enrollment ID: I20100708000534 |
| Provider Name | David L Kyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952370728 PECOS PAC ID: 0446154801 Enrollment ID: I20100708000609 |
| Provider Name | Jane W Riester |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518988450 PECOS PAC ID: 2961413281 Enrollment ID: I20100927001128 |
| Provider Name | Scott A Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457394868 PECOS PAC ID: 4587606397 Enrollment ID: I20101103000878 |
| Provider Name | Charles Kenneth Edsall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841483344 PECOS PAC ID: 1951595818 Enrollment ID: I20101104000682 |
| Provider Name | James Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578756904 PECOS PAC ID: 4981899697 Enrollment ID: I20101108000949 |
| Provider Name | James O Stumpff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548222326 PECOS PAC ID: 5496935850 Enrollment ID: I20110202000631 |
| Provider Name | Bradley P Swenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467415711 PECOS PAC ID: 6709067333 Enrollment ID: I20110302000044 |
| Provider Name | Dorenda G Truesdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457378309 PECOS PAC ID: 0749387041 Enrollment ID: I20111201000581 |
| Provider Name | Kimberly Gail Kyker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992942502 PECOS PAC ID: 1658538558 Enrollment ID: I20120203000705 |
| Provider Name | Thomas C Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942243589 PECOS PAC ID: 7113992769 Enrollment ID: I20120412000405 |
| Provider Name | Tara H Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528327418 PECOS PAC ID: 7416112602 Enrollment ID: I20120713000605 |
| Provider Name | Frank Brown Beacham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043448145 PECOS PAC ID: 1254587702 Enrollment ID: I20120816000041 |
| Provider Name | Jocelyn B Sikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568726495 PECOS PAC ID: 4385891803 Enrollment ID: I20120905000635 |
| Provider Name | Syed Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184713992 PECOS PAC ID: 9537056981 Enrollment ID: I20120912000816 |
| Provider Name | Jeremy Parker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669676946 PECOS PAC ID: 5799924007 Enrollment ID: I20130618000406 |
| Provider Name | Kenneth C Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366679458 PECOS PAC ID: 9436326220 Enrollment ID: I20130814000353 |
| Provider Name | Kenneth G Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801183710 PECOS PAC ID: 1355577354 Enrollment ID: I20131121001732 |
| Provider Name | Elmer G Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669804647 PECOS PAC ID: 2163650532 Enrollment ID: I20140109000759 |
| Provider Name | Candace G Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710307103 PECOS PAC ID: 9335364942 Enrollment ID: I20140715000745 |
| Provider Name | Ricky Alan Henderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487667523 PECOS PAC ID: 5890790034 Enrollment ID: I20150226001689 |
| Provider Name | Rene L Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598028896 PECOS PAC ID: 4082921630 Enrollment ID: I20150915002873 |
| Provider Name | Sherrie R Dansby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851772537 PECOS PAC ID: 8123337698 Enrollment ID: I20151023000536 |
| Provider Name | Silvestro J Lijoi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780679118 PECOS PAC ID: 7012996135 Enrollment ID: I20151216002463 |
| Provider Name | Donna G Marcengill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316318454 PECOS PAC ID: 1153623137 Enrollment ID: I20160107002106 |
| Provider Name | Julie Chiappini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568820413 PECOS PAC ID: 1759680911 Enrollment ID: I20160422000973 |
| Provider Name | Andrea Ray Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578803862 PECOS PAC ID: 0749589760 Enrollment ID: I20160426001114 |
| Provider Name | Robert L Allman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376804658 PECOS PAC ID: 4284928276 Enrollment ID: I20160815001492 |
| Provider Name | Tonia R Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740734003 PECOS PAC ID: 1759660020 Enrollment ID: I20161110000211 |
| Provider Name | Nina E Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881131829 PECOS PAC ID: 6608144712 Enrollment ID: I20170614000976 |
| Provider Name | Jessica G Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144754680 PECOS PAC ID: 9335418565 Enrollment ID: I20170703001404 |
| Provider Name | Robert C Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114331154 PECOS PAC ID: 6507154762 Enrollment ID: I20170808000686 |
| Provider Name | David W Finney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043624141 PECOS PAC ID: 1759679707 Enrollment ID: I20170817000790 |
| Provider Name | Sarah M Wheat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689018327 PECOS PAC ID: 7214209220 Enrollment ID: I20170824002760 |
| Provider Name | John Thomas Meehan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194959239 PECOS PAC ID: 1254653520 Enrollment ID: I20170911001171 |
| Provider Name | Sarah Elizabeth Hamby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700395738 PECOS PAC ID: 4587921341 Enrollment ID: I20171204000214 |
| Provider Name | Kelly Reyna Radford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750763876 PECOS PAC ID: 1052699337 Enrollment ID: I20180214002213 |
| Provider Name | Hiliary Cash Weill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689056251 PECOS PAC ID: 4183902182 Enrollment ID: I20180305002460 |
| Provider Name | Andrew Hagenauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063894590 PECOS PAC ID: 8123316262 Enrollment ID: I20180314002294 |
| Provider Name | Arthur Buist Jordan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548642325 PECOS PAC ID: 6709164981 Enrollment ID: I20180319001953 |
| Provider Name | Nathanael Ricardo Benitez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346622883 PECOS PAC ID: 5991093148 Enrollment ID: I20180320001548 |
| Provider Name | Michael Stephen Odom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093197980 PECOS PAC ID: 3072801117 Enrollment ID: I20180321000466 |
| Provider Name | Jack P Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396127569 PECOS PAC ID: 5991093445 Enrollment ID: I20180403001120 |
| Provider Name | Christopher Steven Bailes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578945010 PECOS PAC ID: 0648568162 Enrollment ID: I20180404001849 |
| Provider Name | Kimberly J Hair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497264345 PECOS PAC ID: 0749537082 Enrollment ID: I20180718001985 |
| Provider Name | David E Cothran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356844757 PECOS PAC ID: 7416206396 Enrollment ID: I20180827001276 |
| Provider Name | Harley Randall Hendrix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003265836 PECOS PAC ID: 3779871207 Enrollment ID: I20180913002310 |
| Provider Name | Lara Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215386800 PECOS PAC ID: 4981982824 Enrollment ID: I20180917000233 |
| Provider Name | Kendall N Shirley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487003216 PECOS PAC ID: 2062790298 Enrollment ID: I20180918001384 |
| Provider Name | Richard P Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427406305 PECOS PAC ID: 7416245782 Enrollment ID: I20180918001748 |
| Provider Name | Grayson P Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578913976 PECOS PAC ID: 9032407564 Enrollment ID: I20180927001550 |
| Provider Name | Kyle M Ryberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891144648 PECOS PAC ID: 0143518159 Enrollment ID: I20180928002117 |
| Provider Name | Christian H Richey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497105910 PECOS PAC ID: 7517255870 Enrollment ID: I20181001001801 |
| Provider Name | Chelsea A Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528546702 PECOS PAC ID: 5597017681 Enrollment ID: I20181018001221 |
| Provider Name | Emerald Rose Banas Branch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548540578 PECOS PAC ID: 4082917927 Enrollment ID: I20181101002667 |
| Provider Name | Shazia Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538421029 PECOS PAC ID: 4789943150 Enrollment ID: I20181113000257 |
| Provider Name | Alexander J Eisenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063860245 PECOS PAC ID: 7315209871 Enrollment ID: I20181119002512 |
| Provider Name | Lauren Elizabeth Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356817449 PECOS PAC ID: 7618213323 Enrollment ID: I20190116001785 |
| Provider Name | Amanda Mae Gambill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558894477 PECOS PAC ID: 3971879578 Enrollment ID: I20190620003492 |
| Provider Name | Kristy Nicole Fincher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447783360 PECOS PAC ID: 9436425915 Enrollment ID: I20190625000017 |
| Provider Name | Joshua Aaron Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811420730 PECOS PAC ID: 4284900762 Enrollment ID: I20190625001571 |
| Provider Name | Jeffrey C Yonce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417480518 PECOS PAC ID: 5092081570 Enrollment ID: I20190730002039 |
| Provider Name | James Allen Shuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376076299 PECOS PAC ID: 1557637956 Enrollment ID: I20190730002208 |
| Provider Name | Abby Rowland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487188389 PECOS PAC ID: 8123394426 Enrollment ID: I20190808003256 |
| Provider Name | William N Gasque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740713668 PECOS PAC ID: 4981970373 Enrollment ID: I20190812002475 |
| Provider Name | Rachel Suzanne Kee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740714641 PECOS PAC ID: 0143596544 Enrollment ID: I20190813002302 |
| Provider Name | Eric Cromer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366975286 PECOS PAC ID: 2961778444 Enrollment ID: I20190821001725 |
| Provider Name | Erin R Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124675194 PECOS PAC ID: 3072844547 Enrollment ID: I20191015000227 |
| Provider Name | Lazedra Monah Myisha Cade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043860562 PECOS PAC ID: 7911330220 Enrollment ID: I20191127000214 |
| Provider Name | Tabitha Denise Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306409487 PECOS PAC ID: 3072949759 Enrollment ID: I20200129001629 |
| Provider Name | Tedra Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821586645 PECOS PAC ID: 5890049902 Enrollment ID: I20200729003450 |
| Provider Name | Dean Horacio Trantham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740778513 PECOS PAC ID: 9234489196 Enrollment ID: I20200731002601 |
| Provider Name | Meridith Ferguson Odom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659891059 PECOS PAC ID: 3173898657 Enrollment ID: I20200803002454 |
| Provider Name | Jonathan Sappington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437647278 PECOS PAC ID: 1153675269 Enrollment ID: I20200804000509 |
| Provider Name | Kevin Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770071177 PECOS PAC ID: 6406100171 Enrollment ID: I20200804001997 |
| Provider Name | Hollie Elizabeth Ables |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528556362 PECOS PAC ID: 1557615663 Enrollment ID: I20200810000737 |
| Provider Name | Matthew Hardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659869972 PECOS PAC ID: 0840544946 Enrollment ID: I20200812002888 |
| Provider Name | Spencer Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073001491 PECOS PAC ID: 0547514655 Enrollment ID: I20200813003834 |
| Provider Name | Blake A Rudeseal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275021420 PECOS PAC ID: 3173877859 Enrollment ID: I20200818001193 |
| Provider Name | James Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619465663 PECOS PAC ID: 2264786375 Enrollment ID: I20200824002418 |
| Provider Name | Amanda Burnette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427546233 PECOS PAC ID: 1658625769 Enrollment ID: I20200914002424 |
| Provider Name | William Gary Vincent Farkas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366798563 PECOS PAC ID: 8628496809 Enrollment ID: I20200921001810 |
| Provider Name | Whitney Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053794438 PECOS PAC ID: 5193144772 Enrollment ID: I20200930003544 |
| Provider Name | Alexander Grady Ham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952918476 PECOS PAC ID: 5799192977 Enrollment ID: I20210406001746 |
| Provider Name | Walter Burke Lackey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851854830 PECOS PAC ID: 2567793904 Enrollment ID: I20210617001255 |
| Provider Name | Amanda D Dorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982164810 PECOS PAC ID: 7810229648 Enrollment ID: I20210618000340 |
| Provider Name | Anietra Deneen Lashawn Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851854764 PECOS PAC ID: 7719319516 Enrollment ID: I20210618000833 |
| Provider Name | Sajiv Alias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992266910 PECOS PAC ID: 1759613573 Enrollment ID: I20210623000918 |
| Provider Name | Nathan Seeberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336600477 PECOS PAC ID: 4880925411 Enrollment ID: I20210624000385 |
| Provider Name | Phillip Roper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629539671 PECOS PAC ID: 3870925985 Enrollment ID: I20210624000582 |
| Provider Name | Logan Brenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194287037 PECOS PAC ID: 4587996319 Enrollment ID: I20210630000382 |
| Provider Name | Drew A Flemming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437611290 PECOS PAC ID: 9638501943 Enrollment ID: I20210804003886 |
| Provider Name | Laurie A Rousseau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134230501 PECOS PAC ID: 7416003900 Enrollment ID: I20210916002089 |
| Provider Name | Brandi Leigh Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124796743 PECOS PAC ID: 8628467594 Enrollment ID: I20211115001709 |
| Provider Name | Michelle Benes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225141211 PECOS PAC ID: 2769589191 Enrollment ID: I20211124001444 |
| Provider Name | Collin Jack Andrus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497383988 PECOS PAC ID: 4981022167 Enrollment ID: I20220707000771 |
| Provider Name | Christian Michael Askew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952939001 PECOS PAC ID: 6002234267 Enrollment ID: I20220720000538 |
| Provider Name | Allie C Redding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427686047 PECOS PAC ID: 0446678627 Enrollment ID: I20220728000406 |
| Provider Name | Joseph Daniel Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679100796 PECOS PAC ID: 8123446317 Enrollment ID: I20220803001956 |
| Provider Name | Taylor N Haines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467089474 PECOS PAC ID: 4082032685 Enrollment ID: I20220808001958 |
| Provider Name | Brandon William Hanna |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205495025 PECOS PAC ID: 1951632504 Enrollment ID: I20220809000081 |
| Provider Name | Tarra D Wasilchen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518231968 PECOS PAC ID: 0648559195 Enrollment ID: I20220827000033 |
| Provider Name | Elizabeth Anne Stuart Whitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013621721 PECOS PAC ID: 0244601557 Enrollment ID: I20230125000768 |
| Provider Name | Giang T Ha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114513124 PECOS PAC ID: 6204239684 Enrollment ID: I20230703002817 |
| Provider Name | Austin Wesley Mahaffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376121178 PECOS PAC ID: 8628471265 Enrollment ID: I20230706001169 |
| Provider Name | Michael R Kopscik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952989048 PECOS PAC ID: 7416350699 Enrollment ID: I20230706004014 |
| Provider Name | John Elliott Calvert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720668700 PECOS PAC ID: 3375946346 Enrollment ID: I20230719000629 |
| Provider Name | Kevin P Rinek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891375168 PECOS PAC ID: 0840693883 Enrollment ID: I20230720004051 |
| Provider Name | Graham Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396366332 PECOS PAC ID: 8224450283 Enrollment ID: I20230807000801 |
| Provider Name | Charles Rowland Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639755002 PECOS PAC ID: 0143623850 Enrollment ID: I20230807002709 |
| Provider Name | Amy Elizabeth Bradshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508444803 PECOS PAC ID: 9537562582 Enrollment ID: I20230810003477 |
| Provider Name | Alexander Louis Bisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093394611 PECOS PAC ID: 3072915230 Enrollment ID: I20230828004034 |
| Provider Name | Carianna Sherrell Beck Coston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336761188 PECOS PAC ID: 8426476490 Enrollment ID: I20230830003477 |
| Provider Name | John Muhonen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376994053 PECOS PAC ID: 6507151784 Enrollment ID: I20230830004406 |
| Provider Name | Ashley Mcneal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881272169 PECOS PAC ID: 6507260171 Enrollment ID: I20230908003662 |
| Provider Name | Michael Thomas Weingarten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508446659 PECOS PAC ID: 7618371360 Enrollment ID: I20230926001025 |
| Provider Name | Cherie Baggett Shuler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760062301 PECOS PAC ID: 2062816770 Enrollment ID: I20231108001345 |
| Provider Name | Teresa Antley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477311710 PECOS PAC ID: 1759729809 Enrollment ID: I20240409001436 |
| Provider Name | Kelly Michelle Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457115933 PECOS PAC ID: 8325488760 Enrollment ID: I20240501003739 |
Redfern Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Rd, Clemson, SC 29634 Phone: 864-656-0692 | |
Clemson Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-654-6800 Fax: 864-654-7672 | |
Prisma Health Pediatrics-clemson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Old Greenville Hwy, Clemson, SC 29631 Phone: 864-653-8964 Fax: 864-653-8963 | |
Ghs Clemson-seneca Ped - Clem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Frontage Rd Ste 1, Clemson, SC 29631 Phone: 864-654-6034 Fax: 864-654-0342 | |
Family Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 522 College Ave, Suite 1, Clemson, SC 29631 Phone: 864-654-7841 Fax: 864-654-7641 | |
Clemson University-redfern Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Rd, Clemson University, Clemson, SC 29634 Phone: 864-656-2233 Fax: 864-656-0760 | |
Anmed Health Clemson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 885 Tiger Blvd, Clemson, SC 29631 Phone: 864-654-6800 |