MR. THOMAS O FORT (NPI# 1144207382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144207382 |
| Entity Type | Individual |
| Full Name | MR. THOMAS O FORT |
| Credential | PA |
| Practice Address |
701 S Morgan Ave Andrews SC 29510-2959 |
| Mailing Address |
Po Box 1209 Murrells Inlet SC 29576-1209 |
| Practice Telephone | 8432645253 |
| Practice Fax Number | 8432645970 |
| Mailing Telephone | 8436528220 |
| Mailing Fax Number | 8435277080 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
780 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RHC068 | 05 |
| Street Address |
701 S MORGAN AVE |
| City | ANDREWS |
| State | SC |
| Zip Code | 29510-2959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121221 | Larry T Wilson | Family Medicine | 701 S Morgan Ave, Andrews, SC 29510 | 2005-06-02 |
| 1720688807 | Selena Augustine Chamberlain | Nurse Practitioner | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2020-10-28 |
| 1881948834 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 701 S Morgan Ave, Suite A, Andrews, SC 29510-2959 | 2012-10-30 |
| 1033438189 | Lizina Blessing Green | Family Medicine | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2010-05-27 |
| 1023346681 | Georgetown Memorial Hospital | Clinic/Center | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2009-11-19 |
| 1912149287 | Patrick Steve Smith Jr. | Physical Therapy Assistant | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2009-04-01 |
| 1144401365 | Georgetown Health Group | Family Medicine | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2007-11-15 |
| 1104995372 | Georgetown Physician Associates, LLC | Clinic/Center | 701 S Morgan Ave, Andrews, SC 29510 | 2006-11-06 |
| 1750367918 | Janis W Harvey | Nurse Practitioner | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2005-12-20 |
| 1730164229 | Bernard Lee Jones Jr. | Family Medicine | 701 S Morgan Ave, Georgetown Health Group Dba Andrews Medical Center, Andrews, SC 29510-2959 | 2005-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578948733 | Jessica Mont | Registered Nurse | 201 Olivia Road, Andrews, SC 29510 | 2015-07-29 |
| 1801219845 | St. James-santee Family Health Center, Inc. | Clinic/Center | 675 North Morgan Avenue, Andrews, SC 29510 | 2014-01-28 |
| 1861820896 | White Pine Land Company Inc | Pharmacy | 15 West Ashland Street, Andrews, SC 29510 | 2013-10-30 |
| 1952472284 | Gene Alan Ziegenhorn | Dentist | 902 S Morgan Ave, Unit 1, Andrews, SC 29510 | 2006-11-10 |
| 1184649055 | Reynolds Drug Strore Inc | Durable Medical Equipment & Medical Supplies | 7 S Morgan Ave, Andrews, SC 29510 | 2006-07-13 |
| 1124003074 | Alexander S. Hemingway | Chiropractor | 502 Brooks Rd, Andrews, SC 29510 | 2005-12-14 |
| 1952831505 | Train Up Speech Therapy Services, LLC | Spec/Tech, Pathology | 212 W. Main St., Andrews, SC 29510 | 2017-06-15 |
| 1609936368 | Hemingway Chiropractic | Chiropractor | 502 Brooks Rd, Andrews, SC 29510 | 2006-12-11 |
| 1497110381 | Tabetha Bentley | Nurse Practitioner | 675 N Morgan Ave, Andrews, SC 29510-2417 | 2015-12-21 |
| 1780141093 | Sherrie B Richardson | Family Medicine | 675 N Morgan Ave, Andrews, SC 29510-2417 | 2019-02-22 |
| Find all providers in zip 29510 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 |
| 1053960914 | Chad Waddell | Physician Assistant | 107 Walnut Ln, North Augusta, SC 29860-8629 | 2019-09-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.