PRAKASH S BEERAKA (NPI# 1124098868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124098868 |
| Entity Type | Individual |
| Full Name | PRAKASH S BEERAKA |
| Credential | MD |
| Practice Address |
101 South Ravenel Street Suite 160 Florence SC 29506-2610 |
| Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
| Practice Telephone | 8436621533 |
| Practice Fax Number | 8436797273 |
| Mailing Telephone | 8436621533 |
| Mailing Fax Number | 8436797273 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 30937 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CIGNA | 2298624 | 01 |
| SC | SELECT HEALTH | 20078271 | 01 |
| SC | AETNA | 7135571 | 01 |
| SC | TRICARE | 014 | 01 |
| SC | EVOLUTIONS | 18500 | 01 |
| SC | MEDICARE | AA29248552 | 01 |
| SC | BLUE CHOICE | 005 | 01 |
| SC | BLUECHOICE | 005 | 01 |
| SC | UNISON | 246983 | 01 |
| SC | 309370 | 05 | |
| SC | MEDCOST | 210717 | 01 |
| NC | 5909956 | 05 | |
| SC | BSBC | 005 | 01 |
| Street Address |
101 SOUTH RAVENEL STREET SUITE 160 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821293093 | Constance Lynne Belissary Maroney | Internal Medicine | 101 South Ravenel Street, Suite 120, Florence, SC 29506-2610 | 2007-06-18 |
| 1588637771 | Michael Barrett | Family Medicine | 101 South Ravenel Street, Ste 160, Florence, SC 29506-2635 | 2006-02-09 |
| 1104899145 | Mcleod Physician Associates II | Surgery | 101 South Ravenel Street, Suite 270, Florence, SC 29506-2610 | 2006-02-09 |
| 1881667244 | Motte G Skinner | Family Medicine | 101 South Ravenel Street, Ste 160, Florence, SC 29506-2635 | 2006-02-08 |
| 1952374399 | Joslyn L Angus Jr. | Family Medicine | 101 South Ravenel Street, Ste 160, Florence, SC 29506-2635 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
| Find all providers in zip 29506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046991 | Open Hands Nursing Telehealth Care LLC | Family Medicine | 1951 Pisgah Rd Rm 104, Florence, SC 29501-6705 | 2020-06-08 |
| 1326672361 | Mcleod Physician Associates II | Family Medicine | 800 E Cheves St Ste 240, Florence, SC 29506-2652 | 2020-02-28 |
| 1356988984 | Family Medicine and Mohr | Family Medicine | 1505a Heritage Ln, Florence, SC 29505-3141 | 2019-12-02 |
| 1841756731 | Sonya Whatley | Family Medicine | 3091 Highway 49 S Ste F, Florence, MS 39073-9446 | 2019-02-15 |
| 1922589704 | Mekesha Shaw | Family Medicine | 1196 Waxwing Dr Unit A, Florence, SC 29505-3846 | 2018-08-28 |
| 1043797723 | Richard Sloan Moon | Family Medicine | 202 W Caskey, Florence, TX 76527 | 2018-07-25 |
| 1568902864 | Summit Medical Group Inc | Family Medicine | 8200 Dixie Hwy, Florence, KY 41042-3225 | 2017-03-06 |
| 1801292396 | Stacey Spence | Family Medicine | 3327 Stockton Dr, Florence, SC 29501-7361 | 2014-11-10 |
| 1063828135 | Kevon Mccarty | Family Medicine | 3235 N Hunt Hwy Ste 103, Florence, AZ 85132-6898 | 2014-07-09 |
| 1023447943 | Advantage Family Care Inc | Family Medicine | 202 Cox Creek Pkwy, Florence, AL 35630-1536 | 2013-11-02 |
| Find all providers in FLORENCE | ||||
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| 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.