| |
525 Verdae Blvd Suite 200 Greenville SC 29607-4021 | |
(864) 272-0388 | |
(864) 213-9237 |
Full Name | |
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Speciality | Pediatrics |
Location | 525 Verdae Blvd, Greenville, South Carolina |
Authorized Official Name and Position | Melissa Oostdyk (COORDINATOR, PROVIDER RELATIONS) |
Authorized Official Contact | 8642720388 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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525 Verdae Blvd Suite 200 Greenville SC 29607-4021 Ph: (864) 272-0388 | 525 Verdae Blvd Suite 200 Greenville SC 29607-4021 Ph: (864) 272-0388 |
NPI Number | 1154438075 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 03/02/2020 |
Medicare PECOS PAC ID | 1355622424 |
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Medicare Enrollment ID | O20170103001689 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154438075 | NPI | - | NPPES |
GP4514 | Medicaid | SC |
Provider Name | Melanie Schnoor Greene |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922056647 PECOS PAC ID: 5698747251 Enrollment ID: I20040812000931 |
Provider Name | Charles W Greene |
---|---|
Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1215985874 PECOS PAC ID: 2466421425 Enrollment ID: I20040928000242 |
Provider Name | Denise Ann Broderick |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1942250980 PECOS PAC ID: 9032167028 Enrollment ID: I20050106000371 |
Provider Name | Kimberly Sue Holloway |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1447209374 PECOS PAC ID: 5799734737 Enrollment ID: I20050118000354 |
Provider Name | Evelyn Brantley Horne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649239880 PECOS PAC ID: 3971547894 Enrollment ID: I20050613000359 |
Provider Name | Elizabeth S Haswell |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1407040645 PECOS PAC ID: 8325133176 Enrollment ID: I20071009000344 |
Provider Name | Jennifer Davis Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972763886 PECOS PAC ID: 6800969585 Enrollment ID: I20080715000280 |
Provider Name | Jocelyn R Renfrow |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700801230 PECOS PAC ID: 5193877629 Enrollment ID: I20090715000098 |
Provider Name | Paige Mccown Rostin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790957066 PECOS PAC ID: 8527240746 Enrollment ID: I20110309000865 |
Provider Name | Ann W Meade |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134180391 PECOS PAC ID: 2668378829 Enrollment ID: I20110525000676 |
Provider Name | Sarah M Carter |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750549168 PECOS PAC ID: 2668650201 Enrollment ID: I20110629000546 |
Provider Name | Carole Irene Mercer |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1851550487 PECOS PAC ID: 8325204605 Enrollment ID: I20120801000254 |
Provider Name | Megan O'neill Witt |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699902213 PECOS PAC ID: 7416103825 Enrollment ID: I20120816000851 |
Provider Name | Chenille Taylor Eidson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689088932 PECOS PAC ID: 0345461414 Enrollment ID: I20141015001474 |
Provider Name | Sneha S Shanbhag |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770894487 PECOS PAC ID: 0244495778 Enrollment ID: I20141112001957 |
Provider Name | Grace K Lott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912344201 PECOS PAC ID: 3971820044 Enrollment ID: I20150330001423 |
Provider Name | James Lee Kuhlen |
---|---|
Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1356662704 PECOS PAC ID: 8628205911 Enrollment ID: I20150722006360 |
Provider Name | Dorothy S Ramsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679954887 PECOS PAC ID: 0042527293 Enrollment ID: I20150921001094 |
Provider Name | Cory Marie Mitchell |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1518229913 PECOS PAC ID: 8224293725 Enrollment ID: I20150925001191 |
Provider Name | Virginia Mary Alexander |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1801123971 PECOS PAC ID: 8921232463 Enrollment ID: I20161201002006 |
Provider Name | Mary Alyson Lerstang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851653091 PECOS PAC ID: 3779732383 Enrollment ID: I20170829000628 |
Provider Name | Kelly Whittaker Kline |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1215341870 PECOS PAC ID: 8628297728 Enrollment ID: I20180803000819 |
Provider Name | Vanessa Kanarr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962949289 PECOS PAC ID: 2365729001 Enrollment ID: I20180806001620 |
Provider Name | Andrew James White |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1972917581 PECOS PAC ID: 9335368349 Enrollment ID: I20180815003364 |
Provider Name | James Coan Mcalpine |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285020958 PECOS PAC ID: 5193045581 Enrollment ID: I20181024002463 |
Provider Name | Kathryn H Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710462148 PECOS PAC ID: 0345589768 Enrollment ID: I20190301002304 |
Provider Name | Christopher M Davis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174056097 PECOS PAC ID: 8022384320 Enrollment ID: I20190617001569 |
Provider Name | Jennifer Hardy Singletary |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003116567 PECOS PAC ID: 3577993534 Enrollment ID: I20200415003155 |
Provider Name | Ryan Jeffery Batson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1407206071 PECOS PAC ID: 1759676703 Enrollment ID: I20200706001090 |
Provider Name | Jonathan Sawaya Lekoshere |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720499775 PECOS PAC ID: 8921322355 Enrollment ID: I20210706001679 |
Provider Name | Jason J Hill |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1699205203 PECOS PAC ID: 7416222617 Enrollment ID: I20210712002735 |
Provider Name | Svetlana Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306312087 PECOS PAC ID: 4981948155 Enrollment ID: I20210716000221 |
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