MID-ISLAND PRIMARY AND URGENT CARE, LLC (NPI# 1528274891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528274891 |
| Entity Type | Organization |
| Organization Name | MID-ISLAND PRIMARY AND URGENT CARE, LLC |
| Practice Address |
58 Shelter Cove Ln Ste L Hilton Head Island SC 29928-3571 |
| Mailing Address |
Po Box 100208 Atlanta GA 30384-0208 |
| Practice Telephone | 8436812074 |
| Mailing Telephone | 8436812074 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Authorized Official Telephone | 4042655009 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH CAROLINA HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4951 | 05 | |
| SC | MEDICARE PTAN | 8845 | 01 |
| Street Address |
58 SHELTER COVE LN STE L |
| City | HILTON HEAD ISLAND |
| State | SC |
| Zip Code | 29928-3571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983242 | Island Health Care, Inc | Home Health | 58 Shelter Cove Ln, Ste C, Hilton Head Island, SC 29928-3572 | 2005-06-21 |
| 1073723839 | Matteo Family Chiropractic, Inc. | Chiropractor | 58 Shelter Cove Ln, Suite H, Hilton Head Island, SC 29928-3571 | 2007-05-23 |
| 1093852683 | James Robert Canham | Dentist | 58 Shelter Cove Ln, Suite A, Hilton Head Island, SC 29928-3571 | 2007-01-31 |
| 1316975865 | Holly A Matteo | Chiropractor | 58 Shelter Cove Ln, Suite H, Hilton Head Island, SC 29928-3571 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156683 | Donna Lynn Farrell | Counselor | 40 Folly Field Road, C 251, Hilton Head Island, SC 29928 | 2019-10-26 |
| 1316368400 | Kara Dunn | Pharmacist | 38 Shelter Cove Lane, Hilton Head Island, SC 29928 | 2013-12-17 |
| 1821347782 | Grant Golden Mckinley | Dentist | 2 Park Lane, Suite 302, Hilton Head, SC 29928 | 2012-09-06 |
| 1366791758 | Brockton Lamar Weisenberger | Family Medicine | 63 Planters Row, Hilton Head Island, SC 29928 | 2012-08-31 |
| 1578887147 | William Robert Jarvis | Pediatrics | 135 Dune Lane, Hilton Head Island, SC 29928 | 2010-03-25 |
| 1508906447 | Seabrook of Hilton Head, Inc | Skilled Nursing Facility | 300 Woodhaven Dr, Hilton Head Island, SC 29928 | 2007-02-08 |
| 1649319930 | Optical Solutions | Eyewear Supplier (Equipment, not the service) | W32 Plaza At Shelter Cove, Hilton Head Island, SC 29928 | 2007-02-05 |
| 1609964964 | Island Sleep Lab LLC | Clinic/Center | 58 Shelter Cove Lane, Suite E1, Hilton Head Island, SC 29928 | 2006-10-11 |
| 1598782435 | Lee Everett Oppenheimer | Dentist | 23b Shelter Cove Ln., Suite 200, Hilton Head Island, SC 29928 | 2006-07-16 |
| 1619227980 | Cynthia E Carlson | Pharmacist | 10 Pope Ave, Hilton Head, SC 29928 | 2012-09-14 |
| Find all providers in zip 29928 | ||||
| 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 |
|---|---|---|---|---|
| 1164990339 | Chechessee Medical Group | Family Medicine | 53 N Calibogue Cay Rd, Hilton Head Island, SC 29928-2913 | 2018-11-06 |
| 1366791758 | Brockton Lamar Weisenberger | Family Medicine | 63 Planters Row, Hilton Head Island, SC 29928 | 2012-08-31 |
| 1952582769 | Thomas Wood Md Pa | Family Medicine | 1555 Fording Island Rd, Suite C 1, Hilton Head Island, SC 29926-1175 | 2007-11-20 |
| 1558384776 | Christopher Eric Madison | Family Medicine | 4 Sorgum Ln, Hilton Head Island, SC 29928-5909 | 2006-07-26 |
| 1184678435 | David Edward Dorsner | Family Medicine | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2006-05-20 |
| 1437108404 | Palmetto Eye Specialists, P.a. | Family Medicine | 220 Pembroke Dr, Suite 100, Hilton Head Island, SC 29926-6200 | 2006-05-08 |
| 1215478185 | Robert L Schubert Md LLC | Family Medicine | 18 Hospital Center Blvd, Hilton Head Island, SC 29926-2733 | 2017-03-13 |
| 1962795989 | Broad River Primary Care LLC | Family Medicine | 35 Bill Fries Dr, Island Medical Plaza Building A, Hilton Head Island, SC 29926-2730 | 2011-05-24 |
| 1770678096 | Lydia C Torres-rozof | Family Medicine | 93 Main St, Hilton Head Island, SC 29926-6613 | 2006-10-03 |
| 1407964943 | Robert L Schubert IIi | Family Medicine | 18 Hospital Center Blvd, Hilton Head Island, SC 29926-2733 | 2006-08-25 |
| Find all providers in HILTON HEAD ISLAND | ||||
| City | HILTON HEAD ISLAND |
| Zip Code | 29928 |
Please comment or provide details below to improve the information on MID-ISLAND PRIMARY AND URGENT CARE, LLC.
| 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.