| Regenerative Health 360 | |
|
1650 Skylyn Dr Ste 420 Spartanburg SC 29307-1086 | |
| (864) 208-9138 | |
| (864) 308-8325 |
| Full Name | Regenerative Health 360 |
|---|---|
| Speciality | Clinic/Center |
| Location | 1650 Skylyn Dr Ste 420, Spartanburg, South Carolina |
| Authorized Official Name and Position | Cheryl Rivers (CFO) |
| Authorized Official Contact | 8646067764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Health 360 1650 Skylyn Dr Ste 420 Spartanburg SC 29307-1047 Ph: (864) 464-7985 | Regenerative Health 360 1650 Skylyn Dr Ste 420 Spartanburg SC 29307-1086 Ph: (864) 208-9138 |
| NPI Number | 1649802497 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 10/08/2021 |
| Medicare PECOS PAC ID | 0345665626 |
|---|---|
| Medicare Enrollment ID | O20200804000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649802497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Vincent Bernard Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053717082 PECOS PAC ID: 9638493356 Enrollment ID: I20150128000714 |
| Provider Name | Veronica Thrasher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104460898 PECOS PAC ID: 3678909751 Enrollment ID: I20200210000152 |
| Provider Name | Christine Marie Beaudoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649804006 PECOS PAC ID: 4183055247 Enrollment ID: I20200506000879 |
| Provider Name | Kristi Ann Oxley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619495215 PECOS PAC ID: 8325307986 Enrollment ID: I20200825001352 |
| Provider Name | Nateka Latrice Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558922096 PECOS PAC ID: 4587090576 Enrollment ID: I20201201001540 |
| Provider Name | Meghan Hodapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477150340 PECOS PAC ID: 1951713031 Enrollment ID: I20201214002670 |
| Provider Name | Lauren Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659986750 PECOS PAC ID: 7214349927 Enrollment ID: I20201221002093 |
| Provider Name | Yolanda Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023233129 PECOS PAC ID: 6305070517 Enrollment ID: I20210112000440 |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |
Medical Group Of The Carolinas - Family Medicine - Converse Heights Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Heywood Ave, Suite 200, Spartanburg, SC 29302 Phone: 864-573-9595 Fax: 864-585-3752 | |
Piedmont Internal Medicine-east Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Skylyn Dr, Suite 300, Spartanburg, SC 29307 Phone: 864-342-4000 | |
Upstate Wound Care By Healogics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 Phone: 904-446-3825 | |
Michelin Family Health Center Spartanburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 New Cut Rd, Spartanburg, SC 29303 Phone: 864-599-3050 Fax: 864-599-3051 | |
Proactive Md Tindall Spartanburg Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2273 Hayne St., Spartanburg, SC 29301 Phone: 864-541-0555 Fax: 864-345-7898 | |
Family Physicians Of Spartanburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 John B White Sr Blvd, Spartanburg, SC 29306 Phone: 864-576-9201 |