| Piedmont Family Practice Llc | |
|
115 Beattie Park Rd Piedmont SC 29673-1410 | |
| (864) 845-3331 | |
| (864) 845-7078 |
| Full Name | Piedmont Family Practice Llc |
|---|---|
| Speciality | General Practice |
| Location | 115 Beattie Park Rd, Piedmont, South Carolina |
| Authorized Official Name and Position | Elaine Lindsay Sloan (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8648453331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Family Practice Llc 115 Beattie Park Rd Piedmont SC 29673-1410 Ph: (864) 845-3331 | Piedmont Family Practice Llc 115 Beattie Park Rd Piedmont SC 29673-1410 Ph: (864) 845-3331 |
| NPI Number | 1437208790 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 04/28/2018 |
| Medicare PECOS PAC ID | 2466487947 |
|---|---|
| Medicare Enrollment ID | O20051004000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437208790 | NPI | - | NPPES |
| GP3020 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jackson B Bruce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063597243 PECOS PAC ID: 3476584236 Enrollment ID: I20050822001311 |
| Provider Name | Joseph Thomas Garand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821177700 PECOS PAC ID: 3274616982 Enrollment ID: I20080218000509 |
| Provider Name | John Lindsay Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851476030 PECOS PAC ID: 4082649561 Enrollment ID: I20080218000553 |
| Provider Name | Sharon J Barthelmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043449705 PECOS PAC ID: 6709037989 Enrollment ID: I20121116000173 |
| Provider Name | Laura Gaudette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336635580 PECOS PAC ID: 7719231026 Enrollment ID: I20181126000657 |
| Provider Name | Zachary Wolfe Cousins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073284154 PECOS PAC ID: 9830585405 Enrollment ID: I20220407000445 |
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