Premier Spine Of The Carolinas | |
22 Bethea Dr Hilton Head SC 29926-4702 | |
(843) 682-7480 | |
(843) 681-9169 |
Full Name | Premier Spine Of The Carolinas |
---|---|
Speciality | Orthopaedic Surgery |
Location | 22 Bethea Dr, Hilton Head, South Carolina |
Authorized Official Name and Position | Michael Kyle Burtnett (SVP OF OUTPATIENT SERVICES, TENET) |
Authorized Official Contact | 4698932153 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Premier Spine Of The Carolinas Po Box 281512 Atlanta GA 30384-1512 Ph: (843) 682-7480 | Premier Spine Of The Carolinas 22 Bethea Dr Hilton Head SC 29926-4702 Ph: (843) 682-7480 |
NPI Number | 1528292638 |
---|---|
Provider Enumeration Date | 05/05/2009 |
Last Update Date | 06/16/2016 |
Medicare PECOS PAC ID | 4183779556 |
---|---|
Medicare Enrollment ID | O20090909000030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528292638 | NPI | - | NPPES |
GP5241 | Medicaid | SC |
Provider Name | Robert Walker |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659320943 PECOS PAC ID: 1355246612 Enrollment ID: I20031201000571 |
Provider Name | James D Atkisson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851377303 PECOS PAC ID: 8820999717 Enrollment ID: I20040114000622 |
Provider Name | Timothy A Scharold |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114011947 PECOS PAC ID: 8123911070 Enrollment ID: I20040204000708 |
Provider Name | Luann Aquino |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659399566 PECOS PAC ID: 6204729262 Enrollment ID: I20040206000013 |
Provider Name | Carlos Alberto Cordero |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952350530 PECOS PAC ID: 4284525122 Enrollment ID: I20040322000992 |
Provider Name | Randy Raissa Lagoc-dingus |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215987466 PECOS PAC ID: 7618954827 Enrollment ID: I20040706001044 |
Provider Name | Harvinder Kohli |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1376560177 PECOS PAC ID: 9234105354 Enrollment ID: I20040909000275 |
Provider Name | James K Frost |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891748794 PECOS PAC ID: 9739149329 Enrollment ID: I20041018001014 |
Provider Name | Lincoln M Mcginnis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205822319 PECOS PAC ID: 0446296883 Enrollment ID: I20050707000259 |
Provider Name | Fletcher C Derrick |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083784110 PECOS PAC ID: 2062446164 Enrollment ID: I20050919000598 |
Provider Name | Serena F York |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336150952 PECOS PAC ID: 4880690627 Enrollment ID: I20061018000336 |
Provider Name | Luis R Vega |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033119854 PECOS PAC ID: 1052319969 Enrollment ID: I20061130000488 |
Provider Name | George Watkins Warner |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1548245301 PECOS PAC ID: 7113928276 Enrollment ID: I20070117000039 |
Provider Name | Tonya Renee Washington |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891780052 PECOS PAC ID: 8224118070 Enrollment ID: I20080107000014 |
Provider Name | Choncharoen Amphan |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1992897698 PECOS PAC ID: 9638179765 Enrollment ID: I20080129000044 |
Provider Name | Andrei V Talantov |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285827469 PECOS PAC ID: 7517041577 Enrollment ID: I20080228000689 |
Provider Name | Belal Sissique Khokhar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568647386 PECOS PAC ID: 3173608338 Enrollment ID: I20080312000097 |
Provider Name | Chioma Udogu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487825667 PECOS PAC ID: 2163588963 Enrollment ID: I20090303000443 |
Provider Name | Ahmad T Haq |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710082425 PECOS PAC ID: 3072407451 Enrollment ID: I20090731000477 |
Provider Name | Satya Kumar Amirichetty |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1336376474 PECOS PAC ID: 9739234006 Enrollment ID: I20090910000251 |
Provider Name | Igor Sister |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518149467 PECOS PAC ID: 4981787975 Enrollment ID: I20101101001018 |
Provider Name | Doris Elizabeth Tummillo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457339251 PECOS PAC ID: 6406813286 Enrollment ID: I20110225000659 |
Provider Name | Andrew Binamira |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952301939 PECOS PAC ID: 2062446040 Enrollment ID: I20110314000822 |
Provider Name | Douglas Scott |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1043545965 PECOS PAC ID: 8022287689 Enrollment ID: I20120828000362 |
Provider Name | Kirk H Johnson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1326098385 PECOS PAC ID: 2163312992 Enrollment ID: I20121026000475 |
Provider Name | Farnel F Backer |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1033302575 PECOS PAC ID: 3072603216 Enrollment ID: I20121128000220 |
Provider Name | Brian E Weirick |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669457966 PECOS PAC ID: 4880770551 Enrollment ID: I20121207000309 |
Provider Name | Kelly Arashin Bouthillet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881939031 PECOS PAC ID: 5799939666 Enrollment ID: I20130129000679 |
Provider Name | Maggie A Shatilla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891839775 PECOS PAC ID: 3072768092 Enrollment ID: I20130224000009 |
Provider Name | Rosalyn Steckel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861698417 PECOS PAC ID: 4486720182 Enrollment ID: I20130723000128 |
Provider Name | Cedric Fisher |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1316122682 PECOS PAC ID: 1052463049 Enrollment ID: I20140219001728 |
Provider Name | Donald M Schreiber |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013015981 PECOS PAC ID: 9436273125 Enrollment ID: I20141013002545 |
Provider Name | Areadne Soler |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164853867 PECOS PAC ID: 0143543223 Enrollment ID: I20141222000452 |
Provider Name | Stephen H Goldner |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710087614 PECOS PAC ID: 0941326979 Enrollment ID: I20150609001140 |
Provider Name | Terence Noah Mukonje |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1497044705 PECOS PAC ID: 0547571515 Enrollment ID: I20150617000715 |
Provider Name | Rafael D Sanchez-yriarte |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073722377 PECOS PAC ID: 9335318435 Enrollment ID: I20150618002044 |
Provider Name | Andre St Christopher Dyer |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1982022638 PECOS PAC ID: 6204147762 Enrollment ID: I20150624002313 |
Provider Name | Lance Jeffrey Brownstein |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417946963 PECOS PAC ID: 7517002694 Enrollment ID: I20150626000669 |
Provider Name | Mohamed A Sheta |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1457666570 PECOS PAC ID: 7517279805 Enrollment ID: I20150629002204 |
Provider Name | Joseph Olawole Ogunsulire |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942555073 PECOS PAC ID: 5890095038 Enrollment ID: I20151119002889 |
Provider Name | Kasie Alison Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881067213 PECOS PAC ID: 0345543443 Enrollment ID: I20160125000295 |
Provider Name | Sara-maiz Afsani Thomas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114191244 PECOS PAC ID: 7517021199 Enrollment ID: I20160518001793 |
Provider Name | Ndi J Maduako |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1396985644 PECOS PAC ID: 4688824584 Enrollment ID: I20160520001402 |
Provider Name | Renny V Peter |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578889556 PECOS PAC ID: 3870729049 Enrollment ID: I20170421000510 |
Provider Name | Andrew M Gurien |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629025408 PECOS PAC ID: 3173513553 Enrollment ID: I20170502000635 |
Provider Name | Emmanuel O Nwadike |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962686485 PECOS PAC ID: 1456407618 Enrollment ID: I20170512000280 |
Provider Name | Robert R Francilin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538485321 PECOS PAC ID: 8921123100 Enrollment ID: I20170627000643 |
Island Chiropractic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 New Orleans Rd Ste 4, Hilton Head, SC 29928 Phone: 843-842-7575 Fax: 843-842-7676 | |
Palmetto Assisted Living Medical Group Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 China Cockle Way, Hilton Head, SC 29926 Phone: 717-994-1711 | |
Heart Associate Of Hilton Head Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 Hospital Center Cmns, Ste 101, Hilton Head, SC 29926 Phone: 843-682-4673 | |
Hilton Head Internists, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 Bill Fries Drive, Building H, Hilton Head, SC 29926 Phone: 843-681-2222 Fax: 843-681-4721 | |
Dr Paul Long, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 89 Main St, Hilton Head, SC 29926 Phone: 843-681-5305 Fax: 843-689-5210 | |
Sea Pines Circle Immediate Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Greenwood Dr, Hilton Head, SC 29928 Phone: 843-341-2700 | |
Family Medicine Of Hilton Head Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 843 William Hilton Pkwy, Hilton Head, SC 29928 Phone: 843-842-3331 Fax: 843-686-2035 |