Providence House Calls Llc - Medicare Primary Care in Rock Hill, SC

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Providence House Calls Llc is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Rock Hill, South Carolina. The current practice location for Providence House Calls Llc is 500 Lakeshore Pkwy, Rock Hill, South Carolina. For appointments, you can reach them via phone at (803) 818-6955. The mailing address for Providence House Calls Llc is Po Box 10984, Rock Hill, South Carolina and phone number is (803) 327-7264.

Providence House Calls Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1689912495. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 818-6955.

Contact Information

Providence House Calls Llc
500 Lakeshore Pkwy
Rock Hill
SC 29730-4273
(803) 818-6955
(803) 818-6993

Map and Direction


Primary Care Clinic Profile

Full NameProvidence House Calls Llc
SpecialityInternal Medicine
Location500 Lakeshore Pkwy, Rock Hill, South Carolina
Authorized Official Name and PositionBeth Taylor (BILLING ADMINISTRATOR)
Authorized Official Contact8033725884
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Providence House Calls Llc
Po Box 10984
Rock Hill
SC 29731-0984

Ph: (803) 327-7264		Providence House Calls Llc
500 Lakeshore Pkwy
Rock Hill
SC 29730-4273

Ph: (803) 818-6955

NPI Details:

NPI Number1689912495
Provider Enumeration Date01/29/2013
Last Update Date11/14/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1759528250
Medicare Enrollment IDO20130430000366

Medical Identifiers

Medical identifiers for Providence House Calls Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689912495NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Providence House Calls Llc acts as a billing entity for following providers:
Provider NameRichmond P Allan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366494700
PECOS PAC ID: 1254245509
Enrollment ID: I20031119000519
Provider NameAmit G Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740288323
PECOS PAC ID: 6709775562
Enrollment ID: I20050124000179
Provider NameMark A Martin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326032566
PECOS PAC ID: 5799728036
Enrollment ID: I20050721000038
Provider NameDana F Kay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861403164
PECOS PAC ID: 5991703167
Enrollment ID: I20061122000254
Provider NameWilliam A King
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1659352003
PECOS PAC ID: 7810090727
Enrollment ID: I20070314000407
Provider NameKevin P Tracy
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1215993159
PECOS PAC ID: 3870698467
Enrollment ID: I20070410000134
Provider NameClara Gulyas
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1629294798
PECOS PAC ID: 1052403623
Enrollment ID: I20070828000153
Provider NameRomin Bharat Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851417729
PECOS PAC ID: 4183777618
Enrollment ID: I20090731000374
Provider NameJuliette S Saad
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1558441212
PECOS PAC ID: 5890839625
Enrollment ID: I20100217000810
Provider NameMichael Lloyd Hughes
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1497731442
PECOS PAC ID: 3476683517
Enrollment ID: I20100616000212
Provider NameDonna B Becker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992801013
PECOS PAC ID: 2860660909
Enrollment ID: I20110715000632
Provider NameBrandi Griffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770881195
PECOS PAC ID: 7618147737
Enrollment ID: I20110829000588
Provider NamePaul Lingoes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891955969
PECOS PAC ID: 0749476802
Enrollment ID: I20120822000797
Provider NameTroy Mac Phillips
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194994210
PECOS PAC ID: 6608930847
Enrollment ID: I20121020000030
Provider NameBrian E Weirick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669457966
PECOS PAC ID: 4880770551
Enrollment ID: I20121207000309
Provider NameTara Atallah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992137368
PECOS PAC ID: 9032344460
Enrollment ID: I20131021000732
Provider NameKristene C Diggins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033299581
PECOS PAC ID: 9032111257
Enrollment ID: I20131216000569
Provider NameLisa Gail Browning
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912375759
PECOS PAC ID: 3779886593
Enrollment ID: I20160127002585
Provider NameTanya Fuller Pellin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639544240
PECOS PAC ID: 3173827250
Enrollment ID: I20160210001473
Provider NameAmanda Chamelle Ivey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770970873
PECOS PAC ID: 9234434143
Enrollment ID: I20160301001299
Provider NameMarie Myriam Fenelon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518328418
PECOS PAC ID: 7113217423
Enrollment ID: I20160527000717
Provider NameKeyonta M Crawford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871975805
PECOS PAC ID: 0941517767
Enrollment ID: I20160909001154
Provider NameJennifer Ramsey Garren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851833974
PECOS PAC ID: 0840572699
Enrollment ID: I20170131001467
Provider NameSharon Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942742465
PECOS PAC ID: 4981971074
Enrollment ID: I20170519001851
Provider NameLatonya Evette Burton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356882278
PECOS PAC ID: 0446528921
Enrollment ID: I20170626001716
Provider NameNancy Tinoco Farrar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245742519
PECOS PAC ID: 6204193048
Enrollment ID: I20171201002608
Provider NameDarci Marie Dimitris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164900106
PECOS PAC ID: 7810248184
Enrollment ID: I20180925004192
Provider NameTara Brown Garrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033693387
PECOS PAC ID: 9931452414
Enrollment ID: I20181030003315
Provider NameKristal Smith Pitts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023583606
PECOS PAC ID: 8921342411
Enrollment ID: I20181211001351
Provider NameLynnette K Beyerle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194206540
PECOS PAC ID: 7012252331
Enrollment ID: I20181214000580
Provider NameLynn Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821599473
PECOS PAC ID: 3870839780
Enrollment ID: I20190115000712
Provider NameLaquasha L Watkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992276208
PECOS PAC ID: 9931440708
Enrollment ID: I20190403002386
Provider NameKimberly Shade Crawford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912477902
PECOS PAC ID: 7113268483
Enrollment ID: I20190415001337
Provider NameAshley Thomas Ashford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356803563
PECOS PAC ID: 1052644473
Enrollment ID: I20190617002538
Provider NameAmanda Claire Lloyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184173205
PECOS PAC ID: 5092097089
Enrollment ID: I20190912003302
Provider NameJamie Puckett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518512029
PECOS PAC ID: 6800127077
Enrollment ID: I20191021000412
Provider NameRebecca L Kuprys
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073980652
PECOS PAC ID: 0648572867
Enrollment ID: I20191105001846
Provider NameSommer Lane Kitchin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003453093
PECOS PAC ID: 9234565623
Enrollment ID: I20200203001896
Provider NameAllison Buryk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174151922
PECOS PAC ID: 1456781327
Enrollment ID: I20200416000534
Provider NameMeredith Manning Sutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427699297
PECOS PAC ID: 0143650721
Enrollment ID: I20200422002066
Provider NameKelly Taylor Eastergard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538628110
PECOS PAC ID: 0345573713
Enrollment ID: I20200430001890
Provider NameJessie G Tenet
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740677624
PECOS PAC ID: 2961711122
Enrollment ID: I20200602000003
Provider NameAndrea Blakeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053954438
PECOS PAC ID: 3072930601
Enrollment ID: I20200827003420
Provider NamePorscha M Rush
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427696475
PECOS PAC ID: 7416374657
Enrollment ID: I20200902000778
Provider NameLaura Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528679982
PECOS PAC ID: 1355751173
Enrollment ID: I20201106001472
Provider NameLavare Canace Seltun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689108490
PECOS PAC ID: 7113298456
Enrollment ID: I20201113002237
Provider NameCandice Elaine Gilliland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063003440
PECOS PAC ID: 6800202698
Enrollment ID: I20210302001762
Provider NameWhitney Patterson Stennett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629663810
PECOS PAC ID: 4486054491
Enrollment ID: I20210614001037
Provider NameJulie Ann Griffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265006811
PECOS PAC ID: 0648671461
Enrollment ID: I20210630001058
Provider NameBrandy Marshay Morton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669048484
PECOS PAC ID: 0547662074
Enrollment ID: I20210707000968
Provider NameKristina Starnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548670532
PECOS PAC ID: 0446656417
Enrollment ID: I20210831002572
Provider NameNancy Ann Reyes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407427396
PECOS PAC ID: 0446656045
Enrollment ID: I20210907003421
Provider NameChristian Mckenzie Millis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376116814
PECOS PAC ID: 2860888377
Enrollment ID: I20220411000818
Provider NameDana Renee Morton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295494441
PECOS PAC ID: 4082091327
Enrollment ID: I20220506001444
Provider NameRachel Lynn Bond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215562533
PECOS PAC ID: 8527499359
Enrollment ID: I20220629003636
Provider NamePamela Abraham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528050440
PECOS PAC ID: 7012043987
Enrollment ID: I20221202000402
Provider NameBruce H Chamberlain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285664078
PECOS PAC ID: 3375599202
Enrollment ID: I20221228001913
Provider NameStephenie Kristen Peploe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992294284
PECOS PAC ID: 9436404928
Enrollment ID: I20230210000797
Provider NameJaponica D Owens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770823916
PECOS PAC ID: 8123250982
Enrollment ID: I20230309001463
Provider NameNdidi Salami
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538832803
PECOS PAC ID: 0244690444
Enrollment ID: I20230719004340
Provider NameLillian Turnage Pack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619651288
PECOS PAC ID: 3779943808
Enrollment ID: I20230720001304

Reviews and Comments


Internal Medicine in Rock Hill, SC


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.