CAROLINA PRIMARY CARE AND DIABETES CENTER LLC (NPI# 1306191077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306191077 |
| Entity Type | Organization |
| Organization Name | CAROLINA PRIMARY CARE AND DIABETES CENTER LLC |
| Practice Address |
3320 N Highway 81 Anderson SC 29621-3626 |
| Practice Telephone | 8642310235 |
| Mailing Telephone | 6102161008 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2016-05-13 |
| Authorized Official Name | DR. JOSEPH ABRAHAM (OWNER/MANAGER) |
| Authorized Official Telephone | 6102161008 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34406 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
3320 N HIGHWAY 81 |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| 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 |
|---|---|---|---|---|
| 1902364680 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 955 Boscobel Rd, Anderson, SC 29625-6704 | 2019-03-12 |
| 1740760560 | Direct Access Md, LLC | Family Medicine | 803 N Fant St Ste 2a, Anderson, SC 29621-5718 | 2018-08-21 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1740719574 | William Charles Vanness II | Family Medicine | 4014 Creedmoor Pl, Anderson, IN 46011-1605 | 2017-06-06 |
| 1679012900 | Community Health Network | Family Medicine | 307 Cottage Ave, Anderson, IN 46012-3404 | 2017-02-20 |
| 1295183382 | Marissa Gail Copeland | Family Medicine | 2000 E Greenville St Ste 1600, Anderson, SC 29621-1719 | 2016-05-30 |
| 1396127569 | Jack Parker Miller Jr. | Family Medicine | 2000 E Greenville St Ste 3600, Anmed Health Family Medicine Residency Prog., Anderson, SC 29621-1725 | 2015-06-24 |
| 1457743361 | Community Health Network | Family Medicine | 4500 Dan Patch Cir, Anderson, IN 46013-3161 | 2015-03-02 |
| 1275883738 | Anderson University | Family Medicine | 316 Boulevard, Abney Gymnasium, Box 999, Anderson, SC 29621-4002 | 2012-09-12 |
| 1093080848 | Franklin Keith Beeler | Family Medicine | 930 Summerlin Court, Anderson, IN 46011 | 2012-03-13 |
| Find all providers in ANDERSON | ||||
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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.