| Cmc-immediate Care Center-gaffney | |
|
840 W Floyd Baker Blvd Gaffney SC 29341-1845 | |
| (864) 489-3300 | |
| (864) 488-3744 |
| Full Name | Cmc-immediate Care Center-gaffney |
|---|---|
| Speciality | Family Medicine |
| Location | 840 W Floyd Baker Blvd, Gaffney, South Carolina |
| Authorized Official Name and Position | Kenneth Meinke (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8645606000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmc-immediate Care Center-gaffney Po Box 277723 Atlanta GA 30384-7723 Ph: (864) 560-6000 | Cmc-immediate Care Center-gaffney 840 W Floyd Baker Blvd Gaffney SC 29341-1845 Ph: (864) 489-3300 |
| NPI Number | 1285275305 |
|---|---|
| Provider Enumeration Date | 09/30/2019 |
| Last Update Date | 01/02/2020 |
| Medicare PECOS PAC ID | 5991041212 |
|---|---|
| Medicare Enrollment ID | O20191220002041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285275305 | NPI | - | NPPES |
| GP9401 | Medicaid | SC | |
| J577 | Other | SC | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian Edward Wysong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912930009 PECOS PAC ID: 8628050432 Enrollment ID: I20040604000685 |
| Provider Name | Edward Leons Katemba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811906381 PECOS PAC ID: 1254313976 Enrollment ID: I20040604000776 |
| Provider Name | Richard J Ruffing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689628646 PECOS PAC ID: 7315923315 Enrollment ID: I20040629001083 |
| Provider Name | Yoganand J Hiremath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952377863 PECOS PAC ID: 3274519020 Enrollment ID: I20040712000485 |
| Provider Name | Ginger Blatchford Boyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043298011 PECOS PAC ID: 2163402413 Enrollment ID: I20040726000770 |
| Provider Name | Marc David Bingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629049515 PECOS PAC ID: 9830162163 Enrollment ID: I20040816000819 |
| Provider Name | Robert E Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710965637 PECOS PAC ID: 5890751614 Enrollment ID: I20041203000397 |
| Provider Name | Kameron Klosterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609984715 PECOS PAC ID: 8426095480 Enrollment ID: I20050411001290 |
| Provider Name | Susan K Bland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982657151 PECOS PAC ID: 6608815964 Enrollment ID: I20050427000421 |
| Provider Name | Mayte L Sandrin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437129525 PECOS PAC ID: 3971547142 Enrollment ID: I20050617000805 |
| Provider Name | Dewey Todd Detar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750499604 PECOS PAC ID: 6305872029 Enrollment ID: I20050714000224 |
| Provider Name | Howard William Klickman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174594477 PECOS PAC ID: 8224012919 Enrollment ID: I20050912000046 |
| Provider Name | Michelle Bruce Nobles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992777007 PECOS PAC ID: 1153343363 Enrollment ID: I20051230000279 |
| Provider Name | Melody Kneeland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871655431 PECOS PAC ID: 0244205086 Enrollment ID: I20060420000376 |
| Provider Name | Gary D Rauch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194705970 PECOS PAC ID: 9739192402 Enrollment ID: I20060725000018 |
| Provider Name | Lisa A Swann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972574242 PECOS PAC ID: 1658347281 Enrollment ID: I20060725000023 |
| Provider Name | Salvatore Bianco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023089919 PECOS PAC ID: 7719990480 Enrollment ID: I20060725000036 |
| Provider Name | Molly Carolyn Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508853649 PECOS PAC ID: 3375547664 Enrollment ID: I20060829000047 |
| Provider Name | Richard G Leland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184659880 PECOS PAC ID: 5698772358 Enrollment ID: I20061023000397 |
| Provider Name | Troy D Mccurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255386520 PECOS PAC ID: 6406856244 Enrollment ID: I20070102000064 |
| Provider Name | Robert W Kaemmerlen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275504359 PECOS PAC ID: 7719987353 Enrollment ID: I20070105000260 |
| Provider Name | Cathy Ann Messer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376648667 PECOS PAC ID: 6406856806 Enrollment ID: I20070109000394 |
| Provider Name | Dean E Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952371601 PECOS PAC ID: 5597766451 Enrollment ID: I20070122000087 |
| Provider Name | Gordon Brown Sherard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558315267 PECOS PAC ID: 4082717707 Enrollment ID: I20070316000149 |
| Provider Name | Jack Martin Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922051150 PECOS PAC ID: 7416050182 Enrollment ID: I20070319000113 |
| Provider Name | Herbert F Barnhill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205888674 PECOS PAC ID: 4880797562 Enrollment ID: I20070319000187 |
| Provider Name | Donald Todd Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841243078 PECOS PAC ID: 5698870178 Enrollment ID: I20070411000180 |
| Provider Name | Sumer S Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740306034 PECOS PAC ID: 0749388098 Enrollment ID: I20070611000032 |
| Provider Name | Sherri E Franks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942392071 PECOS PAC ID: 0840380879 Enrollment ID: I20071214000198 |
| Provider Name | Sherley I Brito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679556567 PECOS PAC ID: 3274556287 Enrollment ID: I20080220000360 |
| Provider Name | Mary Katherine Duran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497726145 PECOS PAC ID: 1153399597 Enrollment ID: I20081015000362 |
| Provider Name | Steven A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952388746 PECOS PAC ID: 6800978503 Enrollment ID: I20090319000469 |
| Provider Name | Edifel N. Macatuno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649219585 PECOS PAC ID: 1557419736 Enrollment ID: I20090427000536 |
| Provider Name | Paul A Gulledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194855502 PECOS PAC ID: 3274671581 Enrollment ID: I20091106000191 |
| Provider Name | Michael Stephen Dale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942271838 PECOS PAC ID: 5395888523 Enrollment ID: I20100210000139 |
| Provider Name | Manuel A Dorna-pesquera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689650376 PECOS PAC ID: 7618015603 Enrollment ID: I20110104000932 |
| Provider Name | Elizabeth Youngs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043204266 PECOS PAC ID: 0042239048 Enrollment ID: I20110308000753 |
| Provider Name | Vincent Slater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306000948 PECOS PAC ID: 6204004591 Enrollment ID: I20110712000163 |
| Provider Name | Ryan B Tuttle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730471681 PECOS PAC ID: 4284884594 Enrollment ID: I20121023000354 |
| Provider Name | Brent Edward Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215256839 PECOS PAC ID: 6608027164 Enrollment ID: I20121108000585 |
| Provider Name | Chad A Leep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073741500 PECOS PAC ID: 3577717560 Enrollment ID: I20130128000421 |
| Provider Name | Timothy J Burrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457672289 PECOS PAC ID: 3173777042 Enrollment ID: I20130129000653 |
| Provider Name | Sheryl M Bankston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972859130 PECOS PAC ID: 8224278486 Enrollment ID: I20130711000303 |
| Provider Name | Kristi Denise Ford-scales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366753535 PECOS PAC ID: 1355581489 Enrollment ID: I20130712000192 |
| Provider Name | Doshandra N Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932334786 PECOS PAC ID: 0244468874 Enrollment ID: I20140106000711 |
| Provider Name | Jack W. Cleland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912166315 PECOS PAC ID: 8820234693 Enrollment ID: I20140204001284 |
| Provider Name | Lisa M Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467874255 PECOS PAC ID: 8224269501 Enrollment ID: I20140331000496 |
| Provider Name | Lori A Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023433232 PECOS PAC ID: 1759513989 Enrollment ID: I20140422001293 |
| Provider Name | Cassandra Lynn Drummond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720417116 PECOS PAC ID: 8921221359 Enrollment ID: I20140603001194 |
| Provider Name | Dana Michelle Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497166318 PECOS PAC ID: 7012131006 Enrollment ID: I20140613000020 |
| Provider Name | John A Lucas |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1659692952 PECOS PAC ID: 7618195959 Enrollment ID: I20140827002004 |
| Provider Name | Jason Lee Watters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316286339 PECOS PAC ID: 8022330844 Enrollment ID: I20141205002089 |
| Provider Name | Stephanie Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083003065 PECOS PAC ID: 2264759083 Enrollment ID: I20150316001178 |
| Provider Name | David Howard Whiteside |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003205626 PECOS PAC ID: 6901127513 Enrollment ID: I20150608003072 |
| Provider Name | Joshua Brady Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639581119 PECOS PAC ID: 5597078436 Enrollment ID: I20150721001247 |
| Provider Name | Jennifer D Psaltis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033590575 PECOS PAC ID: 9335453364 Enrollment ID: I20150804003934 |
| Provider Name | Alicia Dawn Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538541792 PECOS PAC ID: 4880900455 Enrollment ID: I20150826002807 |
| Provider Name | Kevin Patrick Docyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548588163 PECOS PAC ID: 4981828084 Enrollment ID: I20150831002243 |
| Provider Name | Ann T Bartee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730569328 PECOS PAC ID: 1759697188 Enrollment ID: I20150901000104 |
| Provider Name | Carrie K Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659756310 PECOS PAC ID: 1759699259 Enrollment ID: I20151002001035 |
| Provider Name | Christopher Todd Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114300845 PECOS PAC ID: 9537469390 Enrollment ID: I20151130001242 |
| Provider Name | Melissa B Kimbrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790153203 PECOS PAC ID: 9032419742 Enrollment ID: I20151202002189 |
| Provider Name | Brittany M Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558735241 PECOS PAC ID: 7315245131 Enrollment ID: I20160412001176 |
| Provider Name | Felicia Tapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538514351 PECOS PAC ID: 2860784014 Enrollment ID: I20160707001981 |
| Provider Name | Amber D Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780032631 PECOS PAC ID: 9739476649 Enrollment ID: I20160921000021 |
| Provider Name | Dorian R Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821440215 PECOS PAC ID: 3870881766 Enrollment ID: I20161010000247 |
| Provider Name | Kristen D Deluna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750834198 PECOS PAC ID: 1951689629 Enrollment ID: I20161101000006 |
| Provider Name | Christine W Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629526231 PECOS PAC ID: 7012296080 Enrollment ID: I20161115000810 |
| Provider Name | April Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649623323 PECOS PAC ID: 9830478718 Enrollment ID: I20161116002617 |
| Provider Name | Candace G Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023550894 PECOS PAC ID: 6608159173 Enrollment ID: I20170207001225 |
| Provider Name | Dianna Michelle Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932657640 PECOS PAC ID: 7214217058 Enrollment ID: I20170215000678 |
| Provider Name | Lucille Ellen Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992236798 PECOS PAC ID: 6800163809 Enrollment ID: I20170523001163 |
| Provider Name | Heather Michelle Lawter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861926685 PECOS PAC ID: 3072883610 Enrollment ID: I20170714001064 |
| Provider Name | Kelly C Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649703109 PECOS PAC ID: 7113298399 Enrollment ID: I20170807000919 |
| Provider Name | Casey Collins Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578092250 PECOS PAC ID: 9335410265 Enrollment ID: I20170810001246 |
| Provider Name | Betsey Collins Scruggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902327760 PECOS PAC ID: 9739452673 Enrollment ID: I20170829001366 |
| Provider Name | John Frederick Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487178844 PECOS PAC ID: 0648545020 Enrollment ID: I20171011001501 |
| Provider Name | Amber J Childers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285059303 PECOS PAC ID: 5496975948 Enrollment ID: I20171018002941 |
| Provider Name | Julie S Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740704055 PECOS PAC ID: 7416214481 Enrollment ID: I20171129001346 |
| Provider Name | Kathleen Gilfillan Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649789579 PECOS PAC ID: 5799046108 Enrollment ID: I20180228000443 |
| Provider Name | Sybil Angelene Tezza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750801791 PECOS PAC ID: 7719242833 Enrollment ID: I20180521000498 |
| Provider Name | Alexander T Hray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083909121 PECOS PAC ID: 1052668514 Enrollment ID: I20180716002168 |
| Provider Name | Amanda Kinney Pruitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033505524 PECOS PAC ID: 3779891627 Enrollment ID: I20180919004015 |
| Provider Name | Katherine E Enos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528451002 PECOS PAC ID: 0648588384 Enrollment ID: I20180927002940 |
| Provider Name | Emily B Staggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023498938 PECOS PAC ID: 5991013641 Enrollment ID: I20181001002767 |
| Provider Name | Jamie T Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295114742 PECOS PAC ID: 7517275258 Enrollment ID: I20181106001104 |
| Provider Name | Jennifer Ann Kollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740755891 PECOS PAC ID: 2062756513 Enrollment ID: I20181210003342 |
| Provider Name | Cyril Aba Forcha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831662048 PECOS PAC ID: 7618215922 Enrollment ID: I20190212002375 |
| Provider Name | Cory Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083950935 PECOS PAC ID: 1557600640 Enrollment ID: I20190307001874 |
| Provider Name | James P Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902361611 PECOS PAC ID: 6305186214 Enrollment ID: I20190312002840 |
| Provider Name | Sheila R Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194298299 PECOS PAC ID: 7719227586 Enrollment ID: I20190314002350 |
| Provider Name | Heather C Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124583117 PECOS PAC ID: 4486995230 Enrollment ID: I20190404002446 |
| Provider Name | Benjamin S Friday |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922369123 PECOS PAC ID: 2860613098 Enrollment ID: I20190702003192 |
| Provider Name | Amber C Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235795246 PECOS PAC ID: 3072849215 Enrollment ID: I20190725003527 |
| Provider Name | Jodi C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265984678 PECOS PAC ID: 2567791403 Enrollment ID: I20190903000585 |
| Provider Name | David M Cykert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154777456 PECOS PAC ID: 3375834757 Enrollment ID: I20191001001669 |
| Provider Name | Cecelia Santana Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083260335 PECOS PAC ID: 4385976869 Enrollment ID: I20191102000094 |
| Provider Name | Sally C Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598318966 PECOS PAC ID: 9638501414 Enrollment ID: I20191115002243 |
| Provider Name | Mark W Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578116943 PECOS PAC ID: 1254766884 Enrollment ID: I20200108002509 |
| Provider Name | Jaimie Elizabeth Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861039687 PECOS PAC ID: 6901232867 Enrollment ID: I20200212002468 |
| Provider Name | Alisha Cartledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225677297 PECOS PAC ID: 3779910070 Enrollment ID: I20200226002083 |
| Provider Name | Joseph Anthony Destefano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275190738 PECOS PAC ID: 9436570926 Enrollment ID: I20200610000184 |
| Provider Name | Santoshi Lattupally |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700308178 PECOS PAC ID: 3173867488 Enrollment ID: I20201008001946 |
| Provider Name | Marcus Ashton Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225026479 PECOS PAC ID: 7911979018 Enrollment ID: I20201029000545 |
| Provider Name | Alyssa Marie Sherrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649895251 PECOS PAC ID: 0648684480 Enrollment ID: I20210205001806 |
| Provider Name | Lauren Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396326054 PECOS PAC ID: 9830507367 Enrollment ID: I20210421001235 |
| Provider Name | Elizabeth Univa Woodley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306355060 PECOS PAC ID: 1850657677 Enrollment ID: I20210428000062 |
| Provider Name | Kelly Edmonds Barrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033777560 PECOS PAC ID: 7810225182 Enrollment ID: I20210503001746 |
| Provider Name | Michelle Rae Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104489111 PECOS PAC ID: 3476882358 Enrollment ID: I20210518001066 |
| Provider Name | Taylor Hamilton Sears |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912493560 PECOS PAC ID: 3072852581 Enrollment ID: I20210714000911 |
| Provider Name | Elyn Lanfranco Delgado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225523731 PECOS PAC ID: 4587066311 Enrollment ID: I20210715002168 |
| Provider Name | Catherine Suzanne Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740600402 PECOS PAC ID: 3375946080 Enrollment ID: I20210719002021 |
| Provider Name | Elizabeth Page Kiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780179812 PECOS PAC ID: 9335489152 Enrollment ID: I20210805002810 |
| Provider Name | Lane Robert Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659374122 PECOS PAC ID: 8022024843 Enrollment ID: I20210816001376 |
| Provider Name | Amanda Leigh Exum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255093068 PECOS PAC ID: 9234527441 Enrollment ID: I20211020002311 |
| Provider Name | Margarite Helen Elsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285396242 PECOS PAC ID: 6608265277 Enrollment ID: I20211120000012 |
| Provider Name | Cherish Hoover Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528665528 PECOS PAC ID: 6901296086 Enrollment ID: I20211203000919 |
| Provider Name | Timothy Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841945839 PECOS PAC ID: 6406238823 Enrollment ID: I20220802001953 |
| Provider Name | Brittany Noel Woodard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184277071 PECOS PAC ID: 7113354937 Enrollment ID: I20220908002851 |
| Provider Name | Casey Jean Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497479349 PECOS PAC ID: 3870961816 Enrollment ID: I20221122001614 |
| Provider Name | Kelly Annette Cudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396454724 PECOS PAC ID: 7315316528 Enrollment ID: I20221209002834 |
| Provider Name | Brittney Doornbos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346862638 PECOS PAC ID: 2264859727 Enrollment ID: I20230630002733 |
| Provider Name | Maliha Marino Taufiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841814670 PECOS PAC ID: 1557786365 Enrollment ID: I20230901000925 |
| Provider Name | Baolam Ngoc Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023632858 PECOS PAC ID: 6800211632 Enrollment ID: I20230922003757 |
| Provider Name | Katherine Marie Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932989183 PECOS PAC ID: 6709233778 Enrollment ID: I20231113002566 |
| Provider Name | James Seastrunk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255432381 PECOS PAC ID: 3971954140 Enrollment ID: I20240111004631 |
| Provider Name | Christina Lynn Gentry Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497535025 PECOS PAC ID: 1850737156 Enrollment ID: I20240308002489 |
Cherokee Community Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1307 N Logan St, Gaffney, SC 29341 Phone: 864-488-1333 | |
Gaffney Family Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Professional Park, Gaffney, SC 29340 Phone: 864-489-1446 Fax: 864-489-4909 | |
Cmc-center For Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 139 Medical Center Dr, Gaffney, SC 29340 Phone: 864-487-7186 Fax: 864-487-7246 | |
Cmc-center For Family Medicine-grassy Pond Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Chesnee Hwy Ste A, Gaffney, SC 29341 Phone: 864-487-7655 Fax: 864-487-8718 | |
Novant Health Grassy Pond Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Chesnee Hwy, Suite A, Gaffney, SC 29341 Phone: 864-487-7655 Fax: 864-487-8718 | |
Medical Group Of The Carolinas - Family Medicine - Gaffney Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 N Limestone St, Gaffney, SC 29340 Phone: 864-489-3360 Fax: 864-560-4413 | |
Dtna Occ - Gaffney Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Woodland Rd, Gaffney, SC 29341 Phone: 864-301-8325 Fax: 864-489-1949 |