SOUTHERN NEUROLOGY, PA (NPI# 1528296936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528296936 |
Entity Type | Organization |
Organization Name | SOUTHERN NEUROLOGY, PA |
Practice Address |
23 Plantation Park Dr Bldg 400 Box 402 Bluffton SC 29910-6038 |
Mailing Address |
23 Plantation Park Drive Bldg 400 Box 402 Bluffton SC 29910-9009 |
Practice Telephone | 8438363667 |
Practice Fax Number | 8438363677 |
Mailing Telephone | 8438363667 |
Mailing Fax Number | 8438363677 |
Enumeration Date | 2009-06-24 |
Last Update Date | 2009-06-24 |
Authorized Official Name | GEORGE WATKINS WARNER JR. (PRESIDENT) |
Authorized Official Telephone | 8438363667 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
14558 | SC | Allopathic & Osteopathic Physicians |
Street Address |
23 PLANTATION PARK DR BLDG 400 BOX 402 |
City | BLUFFTON |
State | SC |
Zip Code | 29910-6038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023082526 | Janis A. Hedin | Specialist | 23 Plantation Park Dr, Suite 403, Bluffton, SC 29910-6038 | 2006-02-14 |
1437697224 | Psychological and Counseling Center | Nurse Practitioner | 23 Plantation Park Dr, 202, Bluffton, SC 29910-6038 | 2017-02-01 |
1245772672 | Vital Personalized Healthcare, LLC | Family Medicine | 23 Plantation Park Dr, Bldg 400, Bluffton, SC 29910 | 2016-11-16 |
1184004285 | Jodi Calfee Watts | Counselor | 23 Plantation Park Dr, Bluffton, SC 29910-6038 | 2015-06-03 |
1497141444 | Articularis Healthcare Group Inc. | Internal Medicine | 23 Plantation Park Dr, Suite 101, Bluffton, SC 29910-6038 | 2015-04-07 |
1629419007 | Goulas Eye | Ophthalmology | 23 Plantation Park Dr, Suite 401, Bluffton, SC 29910-6038 | 2013-07-12 |
1922359660 | Roper Saint Francis Physicians Network | Neurological Surgery | 23 Plantation Park Dr, Building 400 Suite 402, Bluffton, SC 29910-6038 | 2012-09-20 |
1326324278 | Mary Theresa Bieda | Counselor | 23 Plantation Park Dr, Building 400, Bluffton, SC 29910-6038 | 2011-10-24 |
1902125222 | Optimal Hearing Systems, Inc | Hearing Aid Equipment | 23 Plantation Park Dr, Suite 102, Bluffton, SC 29910-6038 | 2010-05-26 |
1083872089 | Finger and Associates | Clinic/Center | 23 Plantation Park Dr, Bldg 400 Suite, Bluffton, SC 29910-6038 | 2008-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
1831682327 | Tattnall Hospital Company LLC | Occupational Therapist | 8201 Pinellas Dr, Bluffton, SC 29910 | 2018-06-11 |
1437647070 | Health Performance Systems LLC | Massage Therapist | 20 Towne Dr Ste 102, Bluffton, SC 29910 | 2018-04-30 |
1659880540 | Jessica Partain | Assistant Behavior Analyst | 254 Red Cedar St Ste 11, Bluffton, SC 29910 | 2017-09-24 |
1760901177 | Thomas Ross Miller | Specialist/Technologist | 7 Independence Place, Bluffton, SC 29910 | 2017-09-18 |
1982124400 | Caitlin Diane Harvey | Behavioral Analyst | 4 Oliver Ct Ste 105, Bluffton, SC 29910 | 2017-06-26 |
1770011041 | Michael Ross Reeves | Physical Therapist | 38 Sheridan Park Cir Ste C, Bluffton, SC 29910 | 2017-05-31 |
1982141750 | Jebediah S. Christy, D.d.s. - Blufton, Pllc | Dentist | 1135 Fording Island Rd, Bluffton, SC 29910 | 2017-01-31 |
1225589377 | Kathryn Hope | Occupational Therapist | 31 Innovation Dr Ste 100, Bluffton, SC 29910 | 2016-10-24 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609829845 | Anthony Williamson | Psychiatry & Neurology | 75 Baylor Dr Ste 155, Bluffton, SC 29910-8965 | 2006-05-18 |
1548245301 | George W Warner | Psychiatry & Neurology | 75 Baylor Dr, #155, Bluffton, SC 29910-8965 | 2005-12-14 |
1851798060 | Orthopedic Associates of The Lowcountry, LLC | Psychiatry & Neurology | 75 Baylor Dr, Ste 155, Bluffton, SC 29910-8965 | 2014-12-03 |
1487761318 | Coastal Carolina Physician Practices LLC | Psychiatry & Neurology | 29 Plantation Park Dr, Suite 204, Bluffton, SC 29910-9001 | 2006-08-24 |
1861465908 | Jose G Panszi | Psychiatry & Neurology | 303 S Main St, Bluffton, IN 46714-2503 | 2006-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693039 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 5500 Front St Ste 230, Summerville, SC 29486-7735 | 2020-09-14 |
1093323875 | Carolina Neurology & Neuroimaging LLC | Psychiatry & Neurology | 111 Shire Dr, Anderson, SC 29621-3675 | 2020-07-17 |
1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
1427608819 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9221 University Blvd Ste 2d, North Charleston, SC 29406-9148 | 2019-09-17 |
1801454830 | Mark Joshua Rosenberg | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 | 2019-06-04 |
1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
1164995700 | Amy Elizabeth Gallozzi | Psychiatry & Neurology | 531 Tributary Dr, Fort Lawn, SC 29714-8625 | 2019-01-07 |
1952896789 | Lauren Crawford | Psychiatry & Neurology | 96 Jonathan Street Suite 301, Charleston, SC 29425-0001 | 2018-06-25 |
1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
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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.