| |
27 Gamecock Ave Ste 201 Charleston SC 29407-3398 | |
(843) 769-8215 | |
(843) 769-8216 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 27 Gamecock Ave, Charleston, South Carolina |
Authorized Official Name and Position | John E Emmel (OWNER) |
Authorized Official Contact | 8437698215 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
27 Gamecock Ave Ste 201 Charleston SC 29407-3398 Ph: (843) 769-8215 | 27 Gamecock Ave Ste 201 Charleston SC 29407-3398 Ph: (843) 769-8215 |
NPI Number | 1235263534 |
---|---|
Provider Enumeration Date | 03/16/2007 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 5193772747 |
---|---|
Medicare Enrollment ID | O20050405001281 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235263534 | NPI | - | NPPES |
GP2529 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (South Carolina) | Primary |
Provider Name | Ralph B Piening |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306991666 PECOS PAC ID: 0749174605 Enrollment ID: I20040211000637 |
Provider Name | Lindsey C Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841242070 PECOS PAC ID: 7012942006 Enrollment ID: I20050928000933 |
Provider Name | Christine E Houser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679642870 PECOS PAC ID: 9830197078 Enrollment ID: I20061122000034 |
Provider Name | Dawn H Clancy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376651224 PECOS PAC ID: 2860599115 Enrollment ID: I20070521000451 |
Provider Name | Amy L Emslie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477799815 PECOS PAC ID: 3678639044 Enrollment ID: I20090310000282 |
Provider Name | John E Emmel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326048828 PECOS PAC ID: 4587611132 Enrollment ID: I20100706000209 |
Provider Name | Leesa O Planton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447579222 PECOS PAC ID: 0749314979 Enrollment ID: I20100810000618 |
Provider Name | Elizabeth Majeski |
---|---|
Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1003093832 PECOS PAC ID: 9133297047 Enrollment ID: I20111012000004 |
Provider Name | Janet B Barr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538428172 PECOS PAC ID: 1254597529 Enrollment ID: I20120801000216 |
Provider Name | Dawn M Pasquarello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538497946 PECOS PAC ID: 9335390418 Enrollment ID: I20121120000086 |
Provider Name | Justine D Decastro |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194936831 PECOS PAC ID: 9537308242 Enrollment ID: I20130726000539 |
Provider Name | Lauren J Delbridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750702692 PECOS PAC ID: 0042442337 Enrollment ID: I20140421001645 |
Provider Name | Robin Malik |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013279215 PECOS PAC ID: 1052550282 Enrollment ID: I20140516000627 |
Provider Name | Elizabeth Nester Bilancione |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194181693 PECOS PAC ID: 0749587467 Enrollment ID: I20160324000062 |
Provider Name | Chelsey Kight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669905741 PECOS PAC ID: 0547531329 Enrollment ID: I20170814000908 |
Provider Name | Caroline Mitchell |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1588186886 PECOS PAC ID: 3779858642 Enrollment ID: I20171003003964 |
Provider Name | Rachael Wills |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841853728 PECOS PAC ID: 0840526323 Enrollment ID: I20190722000750 |
Provider Name | Dawn E Murphy |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1093152050 PECOS PAC ID: 8729308168 Enrollment ID: I20190730002420 |
Provider Name | Tara Jean Caldwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245876598 PECOS PAC ID: 5991132243 Enrollment ID: I20200226000112 |
Provider Name | Laura Madden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598395485 PECOS PAC ID: 2365870391 Enrollment ID: I20200325000762 |
Provider Name | Corinne P Meynardie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609413566 PECOS PAC ID: 8123458999 Enrollment ID: I20200417002309 |
Provider Name | Kaylee Lobo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912477415 PECOS PAC ID: 3476967654 Enrollment ID: I20210129000431 |
Provider Name | Carolyn Rines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952936528 PECOS PAC ID: 6507271442 Enrollment ID: I20210226001165 |
Provider Name | Andrea Stress |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366105348 PECOS PAC ID: 0042609240 Enrollment ID: I20211109002591 |
Provider Name | Sarah E Sams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427771542 PECOS PAC ID: 7618345109 Enrollment ID: I20221114002223 |
Provider Name | Krysta M Carhart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679273460 PECOS PAC ID: 0648644864 Enrollment ID: I20230329001721 |
Provider Name | Samantha J Theobald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508563347 PECOS PAC ID: 8325405483 Enrollment ID: I20230605001717 |
Provider Name | Cara Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699549980 PECOS PAC ID: 2961855762 Enrollment ID: I20240129001741 |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |