| Coleman Family Practice | |
|
953 S. Pamplico Hwy. Pamplico SC 29583-4058 | |
| (843) 493-5252 | |
| (843) 493-2372 |
| Full Name | Coleman Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 953 S. Pamplico Hwy., Pamplico, South Carolina |
| Authorized Official Name and Position | Sophia L Arwood (DIRECTOR) |
| Authorized Official Contact | 6156286038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleman Family Practice 953 S. Pamplico Hwy. Pamplico SC 29583-4058 Ph: (843) 493-5252 | Coleman Family Practice 953 S. Pamplico Hwy. Pamplico SC 29583-4058 Ph: (843) 493-5252 |
| NPI Number | 1023238490 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 01/02/2014 |
| Medicare PECOS PAC ID | 9739096769 |
|---|---|
| Medicare Enrollment ID | O20050201000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023238490 | NPI | - | NPPES |
| RHC109 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Loren D Harter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508864885 PECOS PAC ID: 7517860430 Enrollment ID: I20040129000070 |
| Provider Name | Eduardo Al Bana Donato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629035878 PECOS PAC ID: 2860477601 Enrollment ID: I20040624000074 |
| Provider Name | Meenakshi A Pande |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538198080 PECOS PAC ID: 9234109158 Enrollment ID: I20040728001162 |
| Provider Name | Geoffrey S Coates-wynn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316928377 PECOS PAC ID: 5193792208 Enrollment ID: I20040916000568 |
| Provider Name | Richard K Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245336932 PECOS PAC ID: 2769449560 Enrollment ID: I20041214000182 |
| Provider Name | Cecil Floyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821056508 PECOS PAC ID: 1153380134 Enrollment ID: I20050202000647 |
| Provider Name | James M Mann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275582405 PECOS PAC ID: 6800849100 Enrollment ID: I20050228000122 |
| Provider Name | Michele Phipps |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902880503 PECOS PAC ID: 8426097338 Enrollment ID: I20050429000629 |
| Provider Name | Steven N Coker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265492953 PECOS PAC ID: 4587609482 Enrollment ID: I20050622000101 |
| Provider Name | Thomas W Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649230343 PECOS PAC ID: 1850336751 Enrollment ID: I20050622000105 |
| Provider Name | Benjamin Lamb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003912775 PECOS PAC ID: 7315976537 Enrollment ID: I20050809000019 |
| Provider Name | Albert D Mims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609972314 PECOS PAC ID: 1951337401 Enrollment ID: I20050809000026 |
| Provider Name | Ernest M Atkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144314394 PECOS PAC ID: 5294764411 Enrollment ID: I20050809000042 |
| Provider Name | Johnny W Trogdon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336183409 PECOS PAC ID: 5496778524 Enrollment ID: I20060104000535 |
| Provider Name | Ossama Abdul Rahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972517860 PECOS PAC ID: 5799709754 Enrollment ID: I20060118000342 |
| Provider Name | James M Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447218128 PECOS PAC ID: 9133138944 Enrollment ID: I20060406000052 |
| Provider Name | Charles E Stonerock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205860210 PECOS PAC ID: 8628072311 Enrollment ID: I20060912000276 |
| Provider Name | Gregory H Jones |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790758258 PECOS PAC ID: 8325047616 Enrollment ID: I20061214000357 |
| Provider Name | Frank Lee Jr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043260151 PECOS PAC ID: 0941306443 Enrollment ID: I20070430000388 |
| Provider Name | Michael H Hsia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487879151 PECOS PAC ID: 2860590858 Enrollment ID: I20070614000719 |
| Provider Name | Emily Stonerock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134337173 PECOS PAC ID: 7810080769 Enrollment ID: I20070907000651 |
| Provider Name | Brandie A Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811191877 PECOS PAC ID: 9638242399 Enrollment ID: I20080715000095 |
| Provider Name | Gyetri S Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023202124 PECOS PAC ID: 8921173162 Enrollment ID: I20080822000038 |
| Provider Name | Ariane U Lieberman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548262124 PECOS PAC ID: 1355418393 Enrollment ID: I20080917000547 |
| Provider Name | Mark S Steadman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356309967 PECOS PAC ID: 9133286826 Enrollment ID: I20090325000134 |
| Provider Name | Alvin C Abinsay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689608002 PECOS PAC ID: 6709933807 Enrollment ID: I20090407000205 |
| Provider Name | David M Culpepper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235190018 PECOS PAC ID: 3274590336 Enrollment ID: I20091027000235 |
| Provider Name | Kevin W Shea |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265474324 PECOS PAC ID: 2466542733 Enrollment ID: I20091229000045 |
| Provider Name | Orachun Sittisuntorn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275525784 PECOS PAC ID: 8921142373 Enrollment ID: I20100223000353 |
| Provider Name | Larry D Rabon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003844044 PECOS PAC ID: 7012052244 Enrollment ID: I20100226000532 |
| Provider Name | Cynthia Lawrimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538119698 PECOS PAC ID: 8820128275 Enrollment ID: I20100610000680 |
| Provider Name | Jeffrey Muha |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063464733 PECOS PAC ID: 5991838658 Enrollment ID: I20100802000181 |
| Provider Name | Regina F Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124347604 PECOS PAC ID: 8628263126 Enrollment ID: I20101110000439 |
| Provider Name | Germina Suffrant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831319003 PECOS PAC ID: 5193910446 Enrollment ID: I20101111001101 |
| Provider Name | James Dedonis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073536744 PECOS PAC ID: 7810184710 Enrollment ID: I20101203000970 |
| Provider Name | Hudnall Paschal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659338986 PECOS PAC ID: 7517146335 Enrollment ID: I20110126000472 |
| Provider Name | Temujin T Chavez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558323543 PECOS PAC ID: 0547431017 Enrollment ID: I20110914000589 |
| Provider Name | Manver Razick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073561304 PECOS PAC ID: 8527077809 Enrollment ID: I20120110000592 |
| Provider Name | Elijah D Owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417156886 PECOS PAC ID: 8820180417 Enrollment ID: I20120411000884 |
| Provider Name | Rami Zebian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558635730 PECOS PAC ID: 2062668601 Enrollment ID: I20120814000204 |
| Provider Name | Anne Marie Samaha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447416581 PECOS PAC ID: 1153578109 Enrollment ID: I20120827000033 |
| Provider Name | Fadi Seif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174713879 PECOS PAC ID: 4688821523 Enrollment ID: I20120828000262 |
| Provider Name | Mary K Brewton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730319351 PECOS PAC ID: 6204084734 Enrollment ID: I20120907000116 |
| Provider Name | Vonny S Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407108954 PECOS PAC ID: 9931354024 Enrollment ID: I20130220000492 |
| Provider Name | Ramzy W Al Hourany |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851554257 PECOS PAC ID: 7810137395 Enrollment ID: I20130703000531 |
| Provider Name | Daniel J Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104828144 PECOS PAC ID: 5597853226 Enrollment ID: I20131011000489 |
| Provider Name | Jon Kennon Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720320740 PECOS PAC ID: 2860626470 Enrollment ID: I20131015001627 |
| Provider Name | Amy M Sved |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053409771 PECOS PAC ID: 7618984782 Enrollment ID: I20131202001447 |
| Provider Name | Diana L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033534151 PECOS PAC ID: 1951529502 Enrollment ID: I20140825000450 |
| Provider Name | Russell Leon Mcelveen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275714735 PECOS PAC ID: 1951540343 Enrollment ID: I20141015000945 |
| Provider Name | Bonnie Simon Grossman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427345479 PECOS PAC ID: 0244452852 Enrollment ID: I20141116000015 |
| Provider Name | Jad Georges Skaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770813719 PECOS PAC ID: 7012181639 Enrollment ID: I20141120000147 |
| Provider Name | Roberto Miranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134163892 PECOS PAC ID: 1658325402 Enrollment ID: I20141218002331 |
| Provider Name | Timothy Moses |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700846656 PECOS PAC ID: 1254327695 Enrollment ID: I20150120000301 |
| Provider Name | Mohamad Zein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346472867 PECOS PAC ID: 0648594796 Enrollment ID: I20150120000518 |
| Provider Name | Janice S Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134281793 PECOS PAC ID: 1850342916 Enrollment ID: I20150305001096 |
| Provider Name | Nailah Roland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558656421 PECOS PAC ID: 4385963529 Enrollment ID: I20150508002368 |
| Provider Name | Lori Marie Deblasi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144216508 PECOS PAC ID: 7719873249 Enrollment ID: I20150706000211 |
| Provider Name | Giuseppe Gioia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932188729 PECOS PAC ID: 6103894514 Enrollment ID: I20150903002927 |
| Provider Name | Ivan Chernev |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992971790 PECOS PAC ID: 8325221617 Enrollment ID: I20150904001444 |
| Provider Name | Linda Evonne Brogdon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013208032 PECOS PAC ID: 0143460758 Enrollment ID: I20150910000018 |
| Provider Name | Morris M Silver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285636779 PECOS PAC ID: 0941365480 Enrollment ID: I20150925002102 |
| Provider Name | Sheryl Hyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932581519 PECOS PAC ID: 4688983372 Enrollment ID: I20151020001984 |
| Provider Name | Abdallah Kamouh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942456132 PECOS PAC ID: 9537469895 Enrollment ID: I20151118002823 |
| Provider Name | William Eric Refvem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487652681 PECOS PAC ID: 1557463734 Enrollment ID: I20151209000665 |
| Provider Name | Roger Polsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578922332 PECOS PAC ID: 0941508212 Enrollment ID: I20160420000452 |
| Provider Name | Jillian O Eaddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417354473 PECOS PAC ID: 7214236512 Enrollment ID: I20160506001731 |
| Provider Name | Charles E Wooten |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497045058 PECOS PAC ID: 4981923570 Enrollment ID: I20160913000445 |
| Provider Name | Kimberly Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679926935 PECOS PAC ID: 9234418518 Enrollment ID: I20161108002561 |
| Provider Name | Christina G Prose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871930743 PECOS PAC ID: 7315226412 Enrollment ID: I20161114000366 |
| Provider Name | Gauravkumar S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386949063 PECOS PAC ID: 6204013378 Enrollment ID: I20161117000959 |
| Provider Name | Tricia Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649721127 PECOS PAC ID: 3577847532 Enrollment ID: I20170313000187 |
| Provider Name | Peter P Mckeown |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699737494 PECOS PAC ID: 8325107808 Enrollment ID: I20170424001114 |
| Provider Name | John W Perry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275596470 PECOS PAC ID: 3375593304 Enrollment ID: I20170516002320 |
| Provider Name | Wassef Karrowni |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972713691 PECOS PAC ID: 0143375857 Enrollment ID: I20171024001739 |
| Provider Name | Jennifer C Patchett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255629275 PECOS PAC ID: 0446563746 Enrollment ID: I20171030000972 |
| Provider Name | Gregory Palutsis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295789238 PECOS PAC ID: 9537167937 Enrollment ID: I20180402001073 |
| Provider Name | Brooke L Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003337916 PECOS PAC ID: 1052676038 Enrollment ID: I20180522000608 |
| Provider Name | Paige O'bryan Kight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538661269 PECOS PAC ID: 3274880786 Enrollment ID: I20180716000138 |
| Provider Name | Shauna Elyse Hemingway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215341078 PECOS PAC ID: 4789973314 Enrollment ID: I20180926002164 |
| Provider Name | Vera Zaraket |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386994226 PECOS PAC ID: 7911259775 Enrollment ID: I20181008000283 |
| Provider Name | Karen Artis-bacote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083156350 PECOS PAC ID: 2264778794 Enrollment ID: I20190104000001 |
| Provider Name | Mohamad Hussein Bourji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336300045 PECOS PAC ID: 7416263066 Enrollment ID: I20190116001811 |
| Provider Name | Brittany Leigh Hempton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770072688 PECOS PAC ID: 0648517631 Enrollment ID: I20190129002992 |
| Provider Name | Vincent S Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699740027 PECOS PAC ID: 3173555976 Enrollment ID: I20190305000733 |
Carolinas Medical Alliance Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 953 Pamplico Hwy South, Pamplico, SC 29583 Phone: 843-493-5252 |