| Peace Medical Center | |
|
401 Guess St Suite 100 Greenville SC 29605-4155 | |
| (864) 233-2744 | |
| Not Available |
| Full Name | Peace Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 Guess St, Greenville, South Carolina |
| Authorized Official Name and Position | Vinita Srivastava (MEDICAL DIRECTOR / PRACTICE OWNER) |
| Authorized Official Contact | 8642332744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Medical Center 401 Guess St Suite 100 Greenville SC 29605-4155 Ph: (864) 233-2744 | Peace Medical Center 401 Guess St Suite 100 Greenville SC 29605-4155 Ph: (864) 233-2744 |
| NPI Number | 1275561813 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 9638135999 |
|---|---|
| Medicare Enrollment ID | O20041208000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275561813 | NPI | - | NPPES |
| GP2379 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Naveen R Saxena |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407802903 PECOS PAC ID: 2264336684 Enrollment ID: I20031126000133 |
| Provider Name | Nomita Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104865575 PECOS PAC ID: 1052347366 Enrollment ID: I20050708000570 |
| Provider Name | Govind N Rughani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770539264 PECOS PAC ID: 0749299071 Enrollment ID: I20060414000117 |
| Provider Name | Milena Lombardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659320018 PECOS PAC ID: 0840360301 Enrollment ID: I20080610000466 |
| Provider Name | Nitin P Gaikwad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457311433 PECOS PAC ID: 4981720182 Enrollment ID: I20100924000908 |
| Provider Name | Vinita Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437105921 PECOS PAC ID: 4880650142 Enrollment ID: I20120706000044 |
| Provider Name | Brittany Rae Maffett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174867204 PECOS PAC ID: 2769635952 Enrollment ID: I20130122000384 |
| Provider Name | Debbie Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104927334 PECOS PAC ID: 6002138831 Enrollment ID: I20150414001981 |
| Provider Name | Tanya Fuller Pellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639544240 PECOS PAC ID: 3173827250 Enrollment ID: I20160210001473 |
| Provider Name | Jin Mei Gams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497258180 PECOS PAC ID: 2163779091 Enrollment ID: I20180723002936 |
| Provider Name | Elijah Emmanuel Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437793809 PECOS PAC ID: 5294135562 Enrollment ID: I20210609000765 |
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