- Medicare Primary Care in Rock Hill, SC

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Rock Hill, South Carolina. The current practice location for is 1131 Saluda St, Rock Hill, South Carolina. For appointments, you can reach them via phone at (803) 325-7744. The mailing address for is Po Box 28, Rock Hill, South Carolina and phone number is (803) 325-7744.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1528004918. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 325-7744.

Contact Information

1131 Saluda St
Rock Hill
SC 29730-5776
(803) 325-7744
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1131 Saluda St, Rock Hill, South Carolina
Authorized Official Name and PositionErnest G. Brown (EXECUTIVE DIRECTOR)
Authorized Official Contact8033257744
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 28
Rock Hill
SC 29731-6028

Ph: (803) 325-7744
1131 Saluda St
Rock Hill
SC 29730-5776

Ph: (803) 325-7744

NPI Details:

NPI Number1528004918
Provider Enumeration Date06/22/2006
Last Update Date01/09/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4880687490
Medicare Enrollment IDO20040407001159

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528004918NPI-NPPES
FQC025MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameRoosevelt Daniel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275571846
PECOS PAC ID: 7810932498
Enrollment ID: I20050623000731
Provider NamePaula D Hampton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831409812
PECOS PAC ID: 0446434690
Enrollment ID: I20110412000802
Provider NameXaviera M Carter
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1275769465
PECOS PAC ID: 0840434395
Enrollment ID: I20130924000002
Provider NameJutta L Cameron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790100063
PECOS PAC ID: 6800018078
Enrollment ID: I20141104001889
Provider NameShervon A Pierre
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477781995
PECOS PAC ID: 5395984058
Enrollment ID: I20161018000147
Provider NameCharita M Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942752076
PECOS PAC ID: 1052693280
Enrollment ID: I20170124002197
Provider NameTreneice Charlette London
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114375300
PECOS PAC ID: 0648564633
Enrollment ID: I20181108000828
Provider NameElijah P Mays
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992317366
PECOS PAC ID: 5496168569
Enrollment ID: I20210108002478
Provider NameMonique Stafford
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1194447250
PECOS PAC ID: 0042687139
Enrollment ID: I20221102001497
Provider NameVeleka Mayfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750001921
PECOS PAC ID: 3577933720
Enrollment ID: I20230104000287
Provider NameVernette Porter
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1073982757
PECOS PAC ID: 5395183966
Enrollment ID: I20240402000333
Provider NameAlyse Marie Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811777105
PECOS PAC ID: 2961841911
Enrollment ID: I20240423004033
Provider NameBrittney Congdon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871857896
PECOS PAC ID: 7315388717
Enrollment ID: I20240516001757

Reviews and Comments


Clinic/Center in Rock Hill, SC


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Practice Location: 757 Anderson Rd S, Rock Hill, SC 29730
Phone: 803-326-3790    
Community Medicine Foundation
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Medicare: Not Enrolled in Medicare
Practice Location: 205 Piedmont St, Rock Hill, SC 29730
Phone: 803-325-7744    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732
Phone: 803-329-5131    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.