| The Practice | |
|
1910 Gregg Street Columbia SC 29201 | |
| (803) 779-5959 | |
| Not Available |
| Full Name | The Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1910 Gregg Street, Columbia, South Carolina |
| Authorized Official Name and Position | John F Mattei (PRESIDENT / OWNER) |
| Authorized Official Contact | 8037795959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Practice 1910 Gregg Street Columbia SC 29201 Ph: (803) 779-5959 | The Practice 1910 Gregg Street Columbia SC 29201 Ph: (803) 779-5959 |
| NPI Number | 1558852855 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 3678821063 |
|---|---|
| Medicare Enrollment ID | O20180801001215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558852855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31618 (South Carolina) | Primary |
| Provider Name | William H Crigler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043264765 PECOS PAC ID: 9931008117 Enrollment ID: I20040107000345 |
| Provider Name | David C Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952490864 PECOS PAC ID: 1052331444 Enrollment ID: I20051130000499 |
| Provider Name | John F Mattei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316959687 PECOS PAC ID: 1355481730 Enrollment ID: I20091215000573 |
| Provider Name | Icie Hutcheson Mullis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114545647 PECOS PAC ID: 7214341858 Enrollment ID: I20210122000909 |
Palmetto Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
South Carolina Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Carolina Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |
Five Points Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
Diabetes Educations Richland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040 |