EDISTO DENTAL ASSOCIATES OF SC, LLC (NPI# 1386891463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386891463 |
| Entity Type | Organization |
| Organization Name | EDISTO DENTAL ASSOCIATES OF SC, LLC |
| Other Organization Name | J. MICHAEL HAVIRD, DMD, PC |
| Practice Address |
51 Station Ct Ste C Edisto Island SC 29438-3020 |
| Mailing Address |
Po Box 218 Edisto Island SC 29438-0218 |
| Practice Telephone | 8438693368 |
| Mailing Telephone | 8438693368 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |
| Authorized Official Name | MRS. JULIE CORLEY (OFFICE MANAGER) |
| Authorized Official Telephone | 8032790015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 2109 | SC | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| J. Michael Havird, DMD, PC | Former Legal Business Name - Organization |
| Street Address |
51 STATION CT STE C |
| City | EDISTO ISLAND |
| State | SC |
| Zip Code | 29438-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295286987 | Fetter Health Care Network Inc | Clinic/Center | 3133 Manse Rd, Edisto Island, SC 29438 | 2016-10-18 |
| 1326241704 | Karen Mcabee Yeargin | Dentist | 827 Oyster Park Dr, Edisto, SC 29438-0235 | 2007-06-06 |
| 1053756866 | Kathryn Vaughn Zemp | Registered Nurse | 1960 Jane Edwards Rd, Edisto Island, SC 29438-6504 | 2013-05-07 |
| 1982972071 | John Raymond Nash Jr. | Obstetrics & Gynecology | 8630 Middleton Point Ln, Edisto Island, SC 29438-6613 | 2011-12-05 |
| 1023039823 | Rebecca J Borders | Family Medicine | 805 Oyster Park Dr, Edisto Island, SC 29438-6837 | 2006-07-21 |
| 1992349104 | Courtney Jennings | Occupational Therapist | 8765a Palmetto Rd, Edisto Island, SC 29438-6923 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349104 | Courtney Jennings | Occupational Therapist | 8765a Palmetto Rd, Edisto Island, SC 29438-6923 | 2019-10-30 |
| 1295286987 | Fetter Health Care Network Inc | Clinic/Center | 3133 Manse Rd, Edisto Island, SC 29438 | 2016-10-18 |
| 1053756866 | Kathryn Vaughn Zemp | Registered Nurse | 1960 Jane Edwards Rd, Edisto Island, SC 29438-6504 | 2013-05-07 |
| 1982972071 | John Raymond Nash Jr. | Obstetrics & Gynecology | 8630 Middleton Point Ln, Edisto Island, SC 29438-6613 | 2011-12-05 |
| 1023039823 | Rebecca J Borders | Family Medicine | 805 Oyster Park Dr, Edisto Island, SC 29438-6837 | 2006-07-21 |
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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|---|---|---|---|---|
| 1942733910 | Circle of Life Home Health Care | Exclusive Provider Organization | 259 Alelia Ln, Columbia, SC 29229-9577 | 2017-04-06 |
| 1598119885 | Onsite Health | Exclusive Provider Organization | 1295 Old Spartanburg Hwy, Lyman, SC 29365-1820 | 2016-04-22 |
| 1881077865 | Teach 1 Save 1 | Exclusive Provider Organization | 2601 Read St Ste I7, Columbia, SC 29204-7861 | 2015-07-08 |
| 1659770881 | Firstlight Home Care | Exclusive Provider Organization | 2520 S Highway 17, Suite 2, Murrells Inlet, SC 29576-7657 | 2014-08-13 |
| 1649697228 | All South Case Management | Exclusive Provider Organization | 216 Sunday Silence Lane, Elgin, SC 29045 | 2014-03-21 |
| 1396166716 | Missy L Campbell | Exclusive Provider Organization | 203 Gibson Woods Trl, Greer, SC 29651-5256 | 2014-01-02 |
| 1649604000 | Jeffrey Walter Herndon | Exclusive Provider Organization | 990 Academy Rd, Walterboro, SC 29488-9266 | 2013-08-21 |
| 1548565971 | Carring Sheppard, LLC | Exclusive Provider Organization | 324 Raes Creek Dr, Greenville, SC 29609-1989 | 2011-01-15 |
| 1639487127 | Above and Beyond Homehealth Agency | Exclusive Provider Organization | 1005 Hare Street, Conway, SC 29526 | 2010-09-17 |
| 1861725251 | Angela Michelle Gaskins | Exclusive Provider Organization | 370 Piney Heights Rd, Warrenville, SC 29851-2707 | 2009-09-16 |
| Find all providers with the same taxonomy | ||||
| City | EDISTO ISLAND |
| Zip Code | 29438 |
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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.