CAROLINAS MEDICAL ALLIANCE INC (NPI# 1386602902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386602902 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL ALLIANCE INC |
| Practice Address |
1590 Freedom Blvd Ste A Florence SC 29505-6071 |
| Practice Telephone | 8436794214 |
| Mailing Telephone | 8436794214 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-08-28 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154657000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians | |
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3747 | 05 | |
| SC | GP3796 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679970867 | Carolinas Medical Alliance Inc | Internal Medicine | 1590 Freedom Blvd Ste C, Florence, SC 29505-6071 | 2014-12-03 |
| 1568869071 | Carolinas Medical Alliance Inc | Family Medicine | 301 Pearl St, Darlington, SC 29532-3812 | 2014-11-26 |
| 1861459174 | Carolinas Medical Alliance Inc | General Practice | 105 N Railroad Ave, Lamar, SC 29069-9727 | 2006-04-28 |
| 1265499537 | Carolinas Medical Alliance Inc | Internal Medicine | 953 Pamplico Hwy South, Pamplico, SC 29583-4058 | 2006-04-28 |
| 1114467586 | Carolinas Medical Alliance Inc | Radiology | 148 Sauls St, Suite F, Lake City, SC 29560-2677 | 2017-03-03 |
| 1134527229 | Carolinas Medical Alliance Inc | Internal Medicine | 1594 Freedom Blvd Ste 205, Florence, SC 29505-6046 | 2014-12-05 |
| 1295132355 | Carolinas Medical Alliance Inc | Internal Medicine | 342 W Main St, Kingstree, SC 29556-3235 | 2014-12-04 |
| 1417354606 | Carolinas Medical Alliance Inc | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2014-12-03 |
| 1023411410 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste A220, Florence, SC 29505-6056 | 2014-09-30 |
| 1033518683 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste B230, Florence, SC 29505-6066 | 2014-08-20 |
| Street Address |
1590 FREEDOM BLVD STE A |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285693606 | Phillip & Coker Ob-gyn LLC | Obstetrics & Gynecology | 1590 Freedom Blvd, Ste. B, Florence, SC 29505-6071 | 2006-03-23 |
| 1912186842 | Heather Barrett Draeger | Obstetrics & Gynecology | 1590 Freedom Blvd, Suite B, Florence, SC 29505-6071 | 2007-10-27 |
| 1134337173 | Emily M Stonerock | Obstetrics & Gynecology | 1590 Freedom Blvd, Suite B, Florence, SC 29505-6071 | 2007-05-21 |
| 1831319003 | Germina Suffrant | Obstetrics & Gynecology | 1590 Freedom Blvd, Suite A, Florence, SC 29505-6071 | 2007-04-27 |
| 1013934595 | Florence Obstetrical and Gynecological Associates Pa | Obstetrics & Gynecology | 1590 Freedom Blvd, Suite D, Florence, SC 29505-6042 | 2006-07-17 |
| 1609838374 | Palmetto Women's Care, LLC | Obstetrics & Gynecology | 1590 Freedom Blvd, Ste. C, Florence, SC 29505-6071 | 2006-04-06 |
| 1417919192 | Louis Palles | Obstetrics & Gynecology | 1590 Freedom Blvd, Ste. C, Florence, SC 29505-6071 | 2006-04-06 |
| 1265492953 | Steven Coker | Obstetrics & Gynecology | 1590 Freedom Blvd, Ste. B, Florence, SC 29505-6071 | 2006-03-25 |
| 1649230343 | Thomas Phillips | Obstetrics & Gynecology | 1590 Freedom Blvd, Ste. B, Florence, SC 29505-6071 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1952774838 | Allied Healthcare LLC | General Practice | 707 S Parker Dr, Florence, SC 29501-6062 | 2015-11-02 |
| 1013330216 | Singing River Healthcare, LLC | General Practice | 503 W College St, Florence, AL 35630-5311 | 2014-01-24 |
| 1376829135 | Ronald Arthur Backus | General Practice | 4185 W Lake Elwood Rd, Florence, WI 54121-9158 | 2011-10-25 |
| 1417991175 | Ednaliz Rodriguez | General Practice | 360 N Irby Street, Hopehealth, Florence, SC 29501 | 2006-06-15 |
| 1265031496 | Samantha Ellen Fullmer | General Practice | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2020-10-19 |
| 1356905087 | Willis Wellness Group | General Practice | 1501 Heritage Ln, Florence, SC 29505-3141 | 2019-04-29 |
| 1962847582 | Shakaria Deanna Johnson | General Practice | 145 E Cheves St, Florence, SC 29506-2526 | 2013-05-09 |
| 1285890426 | Todd Frazier | General Practice | 3015 W Palmetto St, Florence, SC 29501-5935 | 2008-08-06 |
| 1649486606 | Bobby Frank King | General Practice | 501 Circular Rd, Una Box 5009, Florence, AL 35632-0001 | 2007-05-15 |
| Find all providers in FLORENCE | ||||
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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.