| Hilton Head Regional Physician Group Llc | |
|
75 Baylor Dr Ste 155 Bluffton SC 29910-8965 | |
| (843) 682-7480 | |
| (843) 681-9169 |
| Full Name | Hilton Head Regional Physician Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 75 Baylor Dr Ste 155, Bluffton, South Carolina |
| Authorized Official Name and Position | Doreatha Rogers (RCS MANAGER) |
| Authorized Official Contact | 9803027992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hilton Head Regional Physician Group Llc Po Box 37643 Belfast, ME 04915-1218 Ph: () - | Hilton Head Regional Physician Group Llc 75 Baylor Dr Ste 155 Bluffton SC 29910-8965 Ph: (843) 682-7480 |
| NPI Number | 1548021694 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 9234573676 |
|---|---|
| Medicare Enrollment ID | O20240214000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548021694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David W Vormohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437176526 PECOS PAC ID: 5092629212 Enrollment ID: I20031113000015 |
| Provider Name | Luann Aquino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659399566 PECOS PAC ID: 6204729262 Enrollment ID: I20040206000013 |
| Provider Name | Eugene Yinmin Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336255777 PECOS PAC ID: 2062402167 Enrollment ID: I20040512000981 |
| Provider Name | Claude H Tolbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922026350 PECOS PAC ID: 2567446396 Enrollment ID: I20040617000833 |
| Provider Name | Robert Dow Hoffman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558325241 PECOS PAC ID: 7719963750 Enrollment ID: I20040629000672 |
| Provider Name | Lynn B Norton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093724676 PECOS PAC ID: 9739150368 Enrollment ID: I20040805000449 |
| Provider Name | Harvinder Kohli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376560177 PECOS PAC ID: 9234105354 Enrollment ID: I20040909000275 |
| Provider Name | Jay Mitchel Kalan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306835541 PECOS PAC ID: 4284693268 Enrollment ID: I20041006000029 |
| Provider Name | Ardra R Davis-tolbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295753622 PECOS PAC ID: 0345289823 Enrollment ID: I20050426000300 |
| Provider Name | Charles Rittenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376658856 PECOS PAC ID: 5597799148 Enrollment ID: I20050922000712 |
| Provider Name | Jimena Cordeiro Feijoo Burnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356314793 PECOS PAC ID: 8426073172 Enrollment ID: I20051011001082 |
| Provider Name | Mark Lawton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497707053 PECOS PAC ID: 5597739201 Enrollment ID: I20060321000701 |
| Provider Name | Jonathan Edward Maccabe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790739654 PECOS PAC ID: 6709828403 Enrollment ID: I20060523000097 |
| Provider Name | Carlos Eloy Montenegro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588613103 PECOS PAC ID: 2860491206 Enrollment ID: I20061212000252 |
| Provider Name | George Watkins Warner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548245301 PECOS PAC ID: 7113928276 Enrollment ID: I20070117000039 |
| Provider Name | Donna D Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831205277 PECOS PAC ID: 4385741552 Enrollment ID: I20070523000094 |
| Provider Name | Meredith E Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831356898 PECOS PAC ID: 3779654827 Enrollment ID: I20080617000256 |
| Provider Name | Jason Cotter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801859640 PECOS PAC ID: 6002966090 Enrollment ID: I20090612000437 |
| Provider Name | Jill C Blau |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548402506 PECOS PAC ID: 3870644131 Enrollment ID: I20090814000099 |
| Provider Name | Michael J Langley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376570515 PECOS PAC ID: 5395705040 Enrollment ID: I20091110000186 |
| Provider Name | John Calvin Sharp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780673830 PECOS PAC ID: 5890896153 Enrollment ID: I20100924000500 |
| Provider Name | Joann Lynn Csakany |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851300420 PECOS PAC ID: 0749463776 Enrollment ID: I20110329000149 |
| Provider Name | Christopher G Goodier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669678421 PECOS PAC ID: 2264603190 Enrollment ID: I20110926000028 |
| Provider Name | Orlando A Ricalde |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336113646 PECOS PAC ID: 6507837762 Enrollment ID: I20120113000111 |
| Provider Name | Kirk H Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326098385 PECOS PAC ID: 2163312992 Enrollment ID: I20121026000475 |
| Provider Name | Monica Vail Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770864829 PECOS PAC ID: 4981877560 Enrollment ID: I20130313000361 |
| Provider Name | Eric S Gwynn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467586628 PECOS PAC ID: 7113027012 Enrollment ID: I20130410000459 |
| Provider Name | Robert J Brockman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174621767 PECOS PAC ID: 2769403971 Enrollment ID: I20130830000768 |
| Provider Name | Aaron James Ford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740361302 PECOS PAC ID: 6709931496 Enrollment ID: I20150509000014 |
| Provider Name | Erin Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821442633 PECOS PAC ID: 2769763317 Enrollment ID: I20161220000606 |
| Provider Name | Tammy L Medlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346371663 PECOS PAC ID: 5799880266 Enrollment ID: I20161222000601 |
| Provider Name | John W Perry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275596470 PECOS PAC ID: 3375593304 Enrollment ID: I20170516002320 |
| Provider Name | Steven David Thies |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104821669 PECOS PAC ID: 5991760738 Enrollment ID: I20170614000370 |
| Provider Name | Halle M Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609909977 PECOS PAC ID: 3779804802 Enrollment ID: I20170619001467 |
| Provider Name | Erica R Downey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336329051 PECOS PAC ID: 5496928962 Enrollment ID: I20170623002322 |
| Provider Name | Isis Lucia Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487961876 PECOS PAC ID: 8123341716 Enrollment ID: I20180122000845 |
| Provider Name | Sarah Shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154734754 PECOS PAC ID: 4284923939 Enrollment ID: I20180809001103 |
| Provider Name | Ross Richard Spires |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528252186 PECOS PAC ID: 1658405501 Enrollment ID: I20180813000495 |
| Provider Name | Matthew Michael Finneran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720348998 PECOS PAC ID: 0244526143 Enrollment ID: I20190725000522 |
| Provider Name | Eliza R Mcelwee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629458435 PECOS PAC ID: 4486932142 Enrollment ID: I20190821003554 |
| Provider Name | Mallory Hudson Alkis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912264151 PECOS PAC ID: 1355570086 Enrollment ID: I20190822003723 |
| Provider Name | Pramod Chopade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386025658 PECOS PAC ID: 7719294784 Enrollment ID: I20200513002537 |
| Provider Name | Mims Gage Ochsner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407276306 PECOS PAC ID: 2466780168 Enrollment ID: I20200602003070 |
| Provider Name | Brooke Gaspari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699126896 PECOS PAC ID: 0648552968 Enrollment ID: I20200616000200 |
| Provider Name | Robert King |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982091237 PECOS PAC ID: 5294042552 Enrollment ID: I20200623001055 |
| Provider Name | Evan Siegall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215248711 PECOS PAC ID: 1759519325 Enrollment ID: I20200701003338 |
| Provider Name | Deana Harmon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417087768 PECOS PAC ID: 1254424567 Enrollment ID: I20200722003795 |
| Provider Name | Philip Mulieri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194845479 PECOS PAC ID: 9436211737 Enrollment ID: I20201014001096 |
| Provider Name | Cullen Burgess Kubicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609499623 PECOS PAC ID: 3072923291 Enrollment ID: I20201029000800 |
| Provider Name | Jason Patrick Norcross |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104873454 PECOS PAC ID: 6305849670 Enrollment ID: I20201109000589 |
| Provider Name | Samantha Cater |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619396330 PECOS PAC ID: 5890911275 Enrollment ID: I20210607001380 |
| Provider Name | Ted Samarjit Samaddar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992147862 PECOS PAC ID: 7113227224 Enrollment ID: I20210723002281 |
| Provider Name | Joanna Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356758924 PECOS PAC ID: 2769603380 Enrollment ID: I20220727003462 |
| Provider Name | Mandy Marie Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750965489 PECOS PAC ID: 7618353590 Enrollment ID: I20220929001943 |
| Provider Name | Steven Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154042901 PECOS PAC ID: 1456727601 Enrollment ID: I20221013001464 |
| Provider Name | Kayo Perley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699330092 PECOS PAC ID: 7012379431 Enrollment ID: I20230817001281 |
| Provider Name | Timothy James Alikakos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427043223 PECOS PAC ID: 9133029838 Enrollment ID: I20230918000475 |
| Provider Name | John Prather |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649494360 PECOS PAC ID: 7719155365 Enrollment ID: I20231120002561 |
| Provider Name | Shelby Griffith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427510577 PECOS PAC ID: 8628303062 Enrollment ID: I20231214000943 |
| Provider Name | Dana Garnand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649684267 PECOS PAC ID: 2567681331 Enrollment ID: I20240606001178 |
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