ANGIE MARIE SHIRLEY (NPI# 1275007460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275007460 |
| Entity Type | Individual |
| Full Name | ANGIE MARIE SHIRLEY |
| Practice Address |
709 Mill St Camden SC 29020-4738 |
| Mailing Address |
1909 Hilton St Camden SC 29020-3108 |
| Practice Telephone | 8034326902 |
| Practice Fax Number | 8034326890 |
| Mailing Telephone | 8034278564 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
709 MILL ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-4738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720288723 | Joann Hodges | Counselor | 709 Mill St, Camden, SC 29020-4738 | 2007-07-19 |
| 1962015685 | Ovp Health Care, Inc. | Family Medicine | 709 Mill St, Camden, SC 29020-4738 | 2020-08-24 |
| 1427615673 | Kimberley Paula Babilon | Peer Specialist | 709 Mill St, Camden, SC 29020-4738 | 2019-05-23 |
| 1053884346 | Sara Ellen Anderson | Counselor | 709 Mill St, Camden, SC 29020-4738 | 2019-01-09 |
| 1598240053 | Kimberly Kocak | Counselor | 709 Mill St, Camden, SC 29020-4738 | 2018-10-01 |
| 1316433360 | Ohio Valley Physicians Inc | Family Medicine | 709 Mill St, Camden, SC 29020-4738 | 2018-07-02 |
| 1942790142 | Mallory Taylor Reed | Counselor | 709 Mill St, Camden, SC 29020-4738 | 2018-05-14 |
| 1790292027 | Tom Hall | Counselor | 709 Mill St, Camden, SC 29020-4738 | 2018-01-09 |
| 1144737867 | Henry Matthew Adams | Counselor | 709 Mill St, Camden, SC 29020-4738 | 2018-01-03 |
| 1356857791 | Anndrea Nikole Williamson | Counselor | 709 Mill St, Camden, SC 29020-4738 | 2017-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615673 | Kimberley Paula Babilon | Peer Specialist | 709 Mill St, Camden, SC 29020-4738 | 2019-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492315 | Ethel B Denmark | Peer Specialist | 211 Paige Point Rd., Sheldon, SC 29941 | 2020-03-13 |
| 1801426457 | Victor Dean Colvard | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-01-23 |
| 1023651957 | Sean Anthony Maxwell | Peer Specialist | 178 Highway 321 Bypass N., Winnsboro, SC 29180 | 2019-10-23 |
| 1205314234 | Lisa Marie Allen | Peer Specialist | 205 Piedmont Blvd # 100, Rock Hill, SC 29732-1836 | 2018-08-01 |
| 1740887637 | Erin Dulik | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-10-05 |
| 1588272777 | Napoleon Gregory | Peer Specialist | 130 Hudson St, Chester, SC 29706-1524 | 2020-07-14 |
| 1366079626 | Angela B. Ball | Peer Specialist | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2020-03-26 |
| 1790310852 | Ines D Figueroa | Peer Specialist | 719 Okatie Hwy # 170, Okatie, SC 29909-3963 | 2020-03-10 |
| 1013556372 | David Ramsey | Peer Specialist | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2020-01-03 |
| 1770121394 | Michael Wade Crouch | Peer Specialist | 309 E Main St, Pickens, SC 29671-2319 | 2019-12-13 |
| 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.