WELLNESSONE ANCILLARY SERVICES LLC (NPI# 1285973255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285973255 |
| Entity Type | Organization |
| Organization Name | WELLNESSONE ANCILLARY SERVICES LLC |
| Practice Address |
4736a Highway 17 Byp S Myrtle Beach SC 29588-5616 |
| Practice Telephone | 8434449355 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-04-09 |
| Authorized Official Name | MR. DARIN GREEN (MANAGER) |
| Authorized Official Telephone | 8434449355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
4736A HIGHWAY 17 BYP S |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437490257 | Wellnessone, LLC | Non-Pharmacy Dispensing Site | 4736a Highway 17 Byp S, Myrtle Beach, SC 29588-5616 | 2013-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| Find all providers in zip 29588 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962908558 | Vitality Health Network LLC | Clinic/Center | 3100 Dick Pond Rd Unit E, Myrtle Beach, SC 29588-7286 | 2018-04-03 |
| 1184090763 | Convenient Concierge Healthcare | Clinic/Center | 922 Jericho Ct, Myrtle Beach, SC 29579-3422 | 2015-08-18 |
| 1962881268 | 360 Health Care | Clinic/Center | 4810 N Kings Hwy, Myrtle Beach, SC 29577-2558 | 2015-05-20 |
| 1104250604 | Completecare Med LLC | Clinic/Center | 4736 Highway 17 Byp S, Myrtle Beach, SC 29588-5616 | 2013-09-03 |
| 1609079201 | Institute of Electrophysiology | Clinic/Center | 4420 Oleander Dr, Suite 102, Myrtle Beach, SC 29577-5720 | 2007-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551926 | Nocd North Carolina PC | Clinic/Center | 374 Lakewind Dr, Moncks Corner, SC 29461-7448 | 2020-03-02 |
| 1316419484 | Open Arms Counseling Center | Clinic/Center | 123 Erinvine Ct, Darlington, SC 29532-4203 | 2018-12-29 |
| 1750851085 | Jacobus Orthopedics and Interventional Pain Management LLC | Clinic/Center | 118 Clair Dr, Piedmont, SC 29673-7771 | 2018-11-29 |
| 1629556477 | Healthworks Med Group of South Carolina P C | Clinic/Center | 701 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2018-08-03 |
| 1780177576 | Denmark-olar Elementary School | Clinic/Center | 1459 Solomon Blatt Blvd, Denmark, SC 29042 | 2018-06-07 |
| 1841782802 | Denmark-olar High School | Clinic/Center | 197 Viking Cir, Denmark, SC 29042 | 2018-06-05 |
| 1760974828 | Sandy Run K-8 School | Clinic/Center | 450 Old Swamp Rd, Swansea, SC 29160 | 2018-06-05 |
| 1881185999 | St. Matthews K-8 School | Clinic/Center | 132 Saints Avenue, St .matthews, SC 29135 | 2018-05-24 |
| 1598256711 | Calhoun County High School | Clinic/Center | 150 Saints Ave, St Matthews, SC 29135-9005 | 2018-05-23 |
| 1710417001 | Drayer Physical Therapy-south Carolina, LLC | Clinic/Center | 738 W Main St, Lexington, SC 29072-2545 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
Please comment or provide details below to improve the information on WELLNESSONE ANCILLARY SERVICES LLC.
| 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.