| Palmetto Family Medicine Of Chesterfield County, Llc | |
|
316 2nd St Cheraw SC 29520-2404 | |
| (843) 921-4851 | |
| (843) 921-4854 |
| Full Name | Palmetto Family Medicine Of Chesterfield County, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 316 2nd St, Cheraw, South Carolina |
| Authorized Official Name and Position | Travis Andrew Novinger (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8439214851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Family Medicine Of Chesterfield County, Llc 316 2nd St Cheraw SC 29520-2404 Ph: (843) 921-4851 | Palmetto Family Medicine Of Chesterfield County, Llc 316 2nd St Cheraw SC 29520-2404 Ph: (843) 921-4851 |
| NPI Number | 1932291242 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 10/02/2018 |
| Medicare PECOS PAC ID | 7012807860 |
|---|---|
| Medicare Enrollment ID | O20040317000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932291242 | NPI | - | NPPES |
| GP3827 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21964 (South Carolina) | Primary |
| Provider Name | Travis A Novinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184686875 PECOS PAC ID: 9133019987 Enrollment ID: I20040317000168 |
| Provider Name | Alison Carisa Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104918499 PECOS PAC ID: 2860452919 Enrollment ID: I20041013001159 |
| Provider Name | Summer W Bryant-cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548643620 PECOS PAC ID: 4981918620 Enrollment ID: I20150807015521 |
| Provider Name | April S Crawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821459470 PECOS PAC ID: 5799077467 Enrollment ID: I20160718000825 |
| Provider Name | Kinzie Barton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609258243 PECOS PAC ID: 5597062968 Enrollment ID: I20161212001861 |
| Provider Name | Brittany Gaskins Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366991143 PECOS PAC ID: 4082996624 Enrollment ID: I20170117000539 |
| Provider Name | Paseo Shatelle Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972155471 PECOS PAC ID: 7618204546 Enrollment ID: I20190814003298 |
| Provider Name | Charles Patrick Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164061834 PECOS PAC ID: 4082041017 Enrollment ID: I20200303001835 |
Hometown Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 S Doctors Dr, Suite B, Cheraw, SC 29520 Phone: 843-537-6557 | |
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Primary Care Of Cheraw Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Foundry Hill Rd, Cheraw, SC 29520 Phone: 843-537-7074 Fax: 843-537-2744 | |
Chesterfield Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 S Doctors Dr, Suite B, Cheraw, SC 29520 Phone: 843-537-3622 | |
Mcleod Pediatrics Cheraw Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 S Doctors Dr, Cheraw, SC 29520 Phone: 843-537-9360 | |
Cheraw Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Chesterfield Hwy, Cheraw, SC 29520 Phone: 843-537-2171 Fax: 843-537-5926 |