ST. JAMES-SANTEE FAMILY HEALTH CENTER INC. (NPI# 1366568594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366568594 |
| Entity Type | Organization |
| Organization Name | ST. JAMES-SANTEE FAMILY HEALTH CENTER INC. |
| Other Organization Name | ST JAMES SANTEE FAMILY HEALTH CENTER INC |
| Practice Address |
57 Jessamine Ave Georgetown SC 29440-5837 |
| Mailing Address |
Po Box 608 Mc Clellanville SC 29458-0608 |
| Practice Telephone | 8435468686 |
| Practice Fax Number | 8435461353 |
| Mailing Telephone | (843) 887-3274 |
| Mailing Fax Number | 8438873929 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MRS. SANDRA GILLIARD (CEO) |
| Authorized Official Telephone | 8438873274 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
37759 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 377596 | 05 |
| Other Name | Type Code |
|---|---|
| St James Santee Family Health Center Inc | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2020 Highmarket St, Georgetown, SC 294402618 | 8438873274 | 8438873929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710202528 | St. James-santee Family Health Center Inc. | Clinic/Center | 714 Lincoln Rd, Mc Clellanville, SC 29458-9601 | 2010-04-05 |
| 1366767683 | St. James-santee Family Health Center Inc. | Clinic/Center | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2010-03-30 |
| 1538293394 | St. James-santee Family Health Center Inc. | Clinic/Center | 2482 Powell Road, Georgetown, SC 29440 | 2007-03-15 |
| 1447382692 | St. James-santee Family Health Center Inc. | Clinic/Center | 8189 Choppee Rd, Georgetown, SC 29440-6374 | 2007-03-12 |
| 1588618441 | St. James-santee Family Health Center Inc. | Clinic/Center | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2006-05-22 |
| Street Address |
57 JESSAMINE AVE |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-5837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199245 | Melanie Whitman | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440 | 2006-01-23 |
| 1912382052 | Anna Newell | Nurse Practitioner | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2015-07-29 |
| 1316345846 | St James Santee Family Health Center Inc | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-12-16 |
| 1780093435 | Marica Green | Nurse Practitioner | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-08-07 |
| 1013334200 | Georgetown Pediatric Center | Clinic/Center | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2014-03-25 |
| 1386956100 | Jennifer Anne Bailey | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2010-07-09 |
| 1760682637 | Georgetown Pediatric Center, PC | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2007-07-19 |
| 1699972174 | Jonathan Keith Mason | Pediatrics | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245486760 | Lisa E Hughes | Pediatrics | 900 Bowman Rd., Mt. Pleasant, SC 29464 | 2008-08-15 |
| 1780860205 | Herbert Lee Smyre | Pediatrics | 106 Sheffield Rd, Greer, SC 29651-1025 | 2008-01-15 |
| 1710181060 | Kudchadkar Clinic | Pediatrics | 880 West Moultrie St, Suite 100, Winnsboro, SC 29180 | 2007-06-12 |
| 1619182482 | Greer Pediatric Clinic LLC | Pediatrics | 554 Memorial Drive Ext Ste C, Greer, SC 29651-1155 | 2007-05-14 |
| 1730248220 | York Pediatrics | Pediatrics | 1538 Health Care Dr, Rock Hill, SC 29732-3857 | 2006-12-08 |
| 1407867351 | Deanne N Geurkink | Pediatrics | 11134 Broad River Rd, Suite D, Irmo, SC 29063-7616 | 2006-08-10 |
| 1114965936 | Christine K Chard | Pediatrics | 23265 Highway 76 E, Clinton, SC 29325-7532 | 2006-06-03 |
| 1164487955 | Mojibola Olayinka Solaja | Pediatrics | 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 | 2006-04-18 |
| 1669432779 | Linda J Crout Wingard | Pediatrics | 2525 Kinard Street, Newberry, SC 29108 | 2006-03-23 |
| 1831162387 | Monica E Silva | Pediatrics | 109 Omni Dr Ste A, Seneca, SC 29672-9448 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
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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.