CHAD WADDELL (NPI# 1053960914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053960914 |
| Entity Type | Individual |
| Full Name | CHAD WADDELL |
| Credential | PA-C |
| Practice Address |
107 Walnut Ln North Augusta SC 29860-8629 |
| Mailing Address |
Po Box 1705 Augusta GA 30903-1705 |
| Practice Telephone | 8032027110 |
| Mailing Telephone | 7067747263 |
| Mailing Fax Number | 7067747230 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1021 Silver Bluff Rd, Aiken, SC 298035879 | 8036480587 | 8036489846 |
| 1100 W Lake Commons Dr, Martinez, GA 309077932 | 7062506919 | 7062507232 |
| 325 Georgia Ave Ste 100, North Augusta, SC 298413848 | 8032023351 | 8038198532 |
| 3486 Peach Orchard Rd Ste 200, Augusta, GA 309065215 | 7068288049 | 7068288048 |
| 3515 Richland Ave, Aiken, SC 298016311 | 8036422626 | 8036422960 |
| 447 N Belair Rd, Evans, GA 308093090 | 7068542222 | 7068542226 |
| 447 N Belair Rd Ste 101, Evans, GA 308093091 | 7068542222 | 7068542226 |
| 4720 Washington Rd, Evans, GA 308095875 | 7066500111 | 7066511882 |
| 925 Branch Ct, Grovetown, GA 308133325 | 7063961199 | 7063961452 |
| 925 Branch Ct Ste 101, Grovetown, GA 308133325 | 7063961199 | 7063961452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043539000 | Chad Waddell | Case Manager/Care Coordinator | 730 Baker St, San Francisco, CA 94115-4305 | 2010-05-28 |
| Street Address |
107 WALNUT LN |
| City | NORTH AUGUSTA |
| State | SC |
| Zip Code | 29860-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519507 | Stephanie Silva Dmd, LLC | Dentist | 133 Allen Court, North Augusta, SC 29860 | 2020-05-15 |
| 1013499193 | Shannon Denise Richardson | Occupational Therapy Assistant | 305 Graybill Rd, North Augusta, SC 29860 | 2018-09-05 |
| 1174990923 | Valensia Clark | Occupational Therapy Assistant | 49 Lionsgate Drive, North Augusta, SC 29860 | 2015-08-27 |
| 1104219617 | Linda Carole Sherrard | Counselor | 1367 W Martintown Rd Ste 7, North Augusta, SC 29860 | 2015-03-07 |
| 1205244274 | Wal-mart Stores East, Lp | Technician/Technologist | 1041 Edgefield, North Augusta, GA 29860 | 2014-07-23 |
| 1609086149 | Cedar Bluff Family and Cosmetic Dentistry Pa | Dentist | 634 B Fairview Rd, Suite 1, Simpsonville, SC 29860 | 2007-05-23 |
| 1396897021 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 135 Market Plaza Dr., No Augusta, SC 29860 | 2007-01-16 |
| 1538123294 | Paul M Weiner | Emergency Medicine | 107 Walnut Ln Ste 102, North Augusta, SC 29860 | 2006-04-12 |
| 1255844478 | Lauren Boynton | Nurse Practitioner | 140 Allen Court, North Augusta, SC 29860 | 2017-11-09 |
| 1851642219 | Raul Luevano | Nurse Practitioner | 698 Fairview Rd, Simpsonville, SC 29860 | 2012-09-26 |
| Find all providers in zip 29860 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366878969 | Amanda Glover Pyles | Physician Assistant | 105 E Hugh St, North Augusta, SC 29841-2925 | 2013-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712482 | Brianna Julia Starr | Physician Assistant | 1403 E Greenville St Ste B, Anderson, SC 29621-2285 | 2019-10-24 |
| 1255974655 | Kaitlyn T Brown | Physician Assistant | 808 Farrar Drive, Conway, SC 29526-8747 | 2019-10-18 |
| 1508429317 | Charlotte H. Hanna | Physician Assistant | 800 E Cheves St Ste 380, Florence, SC 29506-2649 | 2019-04-17 |
| 1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1073022612 | Gina Marie Sanitato | Physician Assistant | 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464-3217 | 2017-09-27 |
| 1659896264 | Morgan N Warthan | Physician Assistant | Gateway Family Medicine, 406 N Poinsett Hwy, Travelers Rest, SC 29690-1667 | 2017-08-04 |
| 1366994824 | Colonial Family Practice, LLC | Physician Assistant | 3750 Savannah Hwy Ste I, Johns Island, SC 29455-7909 | 2016-11-01 |
| 1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
| 1629434279 | Jennifer Templeton | Physician Assistant | 110 Highland Center Drive, Columbia, SC 29203 | 2016-01-12 |
| Find all providers with the same taxonomy | ||||
| City | NORTH AUGUSTA |
| Zip Code | 29860 |
Please comment or provide details below to improve the information on CHAD WADDELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.