TABATHA LYNN ADAMS (NPI# 1528292794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528292794 |
| Entity Type | Individual |
| Full Name | TABATHA LYNN ADAMS |
| Credential | FNP |
| Practice Address |
1401 Main St Bonneau SC 29431-5013 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7715 |
| Practice Telephone | 8438253404 |
| Practice Fax Number | 8438253407 |
| Mailing Telephone | 8437612815 |
| Mailing Fax Number | 8438994723 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3245 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR-MEDICARE | P01173875 | 01 |
| SC | NP1664 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619014701 | Tabatha Mann Adams | Dentist | 1508 Oxford Dr, Georgetown, KY 40324-9266 | 2007-01-30 |
| Street Address |
1401 MAIN ST |
| City | BONNEAU |
| State | SC |
| Zip Code | 29431-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619934346 | David Paul Rodgers | Family Medicine | 1401 Main St, Bonneau, SC 29431-5013 | 2006-04-27 |
| 1255722708 | Allyson P Brown | Nurse Practitioner | 1401 Main St, Bonneau, SC 29431-5013 | 2015-02-05 |
| 1912931007 | Beth S Price | Family Medicine | 1401 Main St, Bonneau, SC 29431-5013 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659311165 | Palmetto Primary Care Physicians | Nutritionist | 1401 Main St., Bonneau, SC 29431 | 2006-06-07 |
| 1558486845 | Berkeley Oral and Maxillofacial Surgery Pa | Dentist | 111 Shelly St., Bonneau, SC 29431-0280 | 2007-03-19 |
| 1790759967 | James Montgomery Jr. | Dentist | 111 Shelly St, Bonneau, SC 29431-3629 | 2006-02-15 |
| 1689882607 | Donald Lawrence Marshall | Dentist | 111 Shelly St, Bonneau, SC 29431-3629 | 2007-05-21 |
| 1962627570 | Chad Winn | Durable Medical Equipment & Medical Supplies | 1484 Main St, Bonneau, SC 29431-5011 | 2007-04-17 |
| 1366646861 | Medical Supplies & Equipment Usa, LLC | Durable Medical Equipment & Medical Supplies | 1484 Main St, Bonneau, SC 29431-5011 | 2007-06-11 |
| 1144790361 | Hope Medical Transport and Training, LLC | Ambulance | 308 Lake Moultrie Dr, Bonneau, SC 29431-8540 | 2018-11-30 |
| 1538640610 | Lisa Miklosi | Behavior Technician | 408 Bonneau St, Bonneau, SC 29431-8625 | 2018-08-27 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255722708 | Allyson P Brown | Nurse Practitioner | 1401 Main St, Bonneau, SC 29431-5013 | 2015-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
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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.