LOVELACE FAMILY MEDICINE, PA (NPI# 1366429987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366429987 |
| Entity Type | Organization |
| Organization Name | LOVELACE FAMILY MEDICINE, PA |
| Other Organization Name | LOVELACE FAMILY MEDICAL CENTER |
| Practice Address |
600 N Wheeler Ave Prosperity SC 29127 |
| Mailing Address |
Po Box 630 Prosperity SC 29127-0630 |
| Practice Telephone | 8033644852 |
| Practice Fax Number | 8033642014 |
| Mailing Telephone | 8033644852 |
| Mailing Fax Number | 8033642014 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2007-10-02 |
| Authorized Official Name | LINDA M KINARD (PRACTICE MANAGER) |
| Authorized Official Telephone | 8033641011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
SC | Ambulatory Health Care Facilities | |
| N | 291U00000X | Clinical Medical Laboratory | SC | Laboratories | |
| N | 291U00000X | Clinical Medical Laboratory | SC | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP0018 | 05 | |
| SC | GP3757 | 05 | |
| SC | DME/MEDICAID | DM0459 | 01 |
| SC | DME/MEDICARE | 0739330001 | 01 |
| Other Name | Type Code |
|---|---|
| Lovelace Family Medical Center | Former Legal Business Name - Organization |
| Street Address |
600 N WHEELER AVE |
| City | PROSPERITY |
| State | SC |
| Zip Code | 29127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710964416 | William M Dixon IIi | Family Medicine | 600 N Wheeler Ave, Prosperity, SC 29127 | 2005-12-23 |
| 1982105243 | Jack Alibert Legrand Jr. | Health Educator | 600 N Wheeler Ave, Prosperity, SC 29127-9332 | 2018-02-22 |
| 1730524620 | Spencer Charles Lovelace | Emergency Medicine | 600 N Wheeler Ave, Prosperity, SC 29127-9332 | 2013-05-06 |
| 1235480161 | Toussaint Podiatry Clinic, LLC | Podiatrist | 600 N Wheeler Ave, Prosperity, SC 29127-9332 | 2012-10-02 |
| 1649544545 | Monica Yvonne Taylor | Nurse Practitioner | 600 N Wheeler Ave, Prosperity, SC 29127-9332 | 2012-02-24 |
| 1720363773 | Brittany Long Lovelace | Physician Assistant | 600 N Wheeler Ave, Prosperity, SC 29127-9332 | 2011-10-20 |
| 1932491966 | Prisma Health-midlands | Community/Behavioral Health | 600 N Wheeler Ave, Prosperity, SC 29127 | 2011-05-10 |
| 1649432477 | Amanda T Haltiwanger | Nurse Practitioner | 600 N Wheeler Ave, Prosperity, SC 29127-8400 | 2008-07-02 |
| 1023276896 | Dean Bernard Kubacz | Family Medicine | 600 N Wheeler Ave, Prosperity, SC 29127-9332 | 2008-05-29 |
| 1396903068 | Dianna Plyler Kubacz | Family Medicine | 600 N Wheeler Ave, Prosperity, SC 29127-9332 | 2008-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932675147 | Kane Vaughn Summer | Pharmacist | 101 N Main Street, Prosperity, SC 29127 | 2018-10-16 |
| 1073050639 | Mid-carolina Dental Care, Inc | Dentist | 316 N Wheeler Ave, Prosperity, SC 29127 | 2017-01-20 |
| 1679970255 | Heather Shealy Mccormack | Registered Nurse | 5 Seibert Rd, Prosperity, SC 29127 | 2014-11-26 |
| 1811233901 | Laura Montgomery | Pharmacist | 101 N. Main St, Prosperity, SC 29127 | 2012-12-18 |
| 1699929612 | Southside Res. Care | Community Based Residential Treatment Facility, Mental Illness | 425 S. Wheeler Ave, Pros, SC 29127 | 2008-11-05 |
| 1376889469 | Carmen Monts | Pharmacist | 101 N. Main St., Prosperity, SC 29127 | 2012-12-18 |
| 1215973334 | Pugh Drug Inc | Pharmacy | 101 N Main St, Prosperity, SC 29127 | 2006-06-20 |
| 1265613376 | John Walter Pugh | Pharmacist | 101 N Main St, Prosperity, SC 29127-0146 | 2007-11-16 |
| 1023178696 | Anthony Frank Chibbaro | Dentist | 316 N. Wheeler Ave., Prosperity, SC 29127-0420 | 2006-12-12 |
| 1932372067 | Lindsay W Piersol | Nurse Practitioner | 600 N. Wheeler Avenue, Prosperity, SC 29127-0630 | 2008-04-09 |
| Find all providers in zip 29127 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1841847423 | Healthworks Med Group of South Carolina P C | Clinic/Center | 9051 Palmetto Commerce Pkwy, Ladson, SC 29456-6705 | 2019-08-20 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1447758032 | Crs Eyecare Services, Inc. | Clinic/Center | 112 Rutledge Ave Ste A, Charleston, SC 29401-1333 | 2018-01-29 |
| 1316477060 | Lake City Medical Associates 2017, LLC | Clinic/Center | 130 S Acline St, Lake City, SC 29560-2633 | 2017-06-15 |
| 1417483355 | New Beginnings Health Services | Clinic/Center | 176 Dermis Ave, Hardeeville, SC 29927-4161 | 2017-05-11 |
| 1669919007 | Hypertension and Diabetes Prevention and Treatment Center Inc | Clinic/Center | 1812 Malden Drive, Hdpt Center Inc, Florence, SC 29505-3128 | 2017-01-24 |
| 1093262511 | Quad/med, LLC | Clinic/Center | 224a Harbor Freight Rd, Dillon, SC 29536-8501 | 2016-09-01 |
| 1649623653 | Woods Bay Family Care LLC | Clinic/Center | 128 E Baker St, Olanta, SC 29114-9101 | 2016-07-14 |
| Find all providers with the same taxonomy | ||||
| City | PROSPERITY |
| Zip Code | 29127 |
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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.