UNIFIED FAMILY HEALTH CENTER LLC (NPI# 1568001642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568001642 |
| Entity Type | Organization |
| Organization Name | UNIFIED FAMILY HEALTH CENTER LLC |
| Practice Address |
1032a Kinley Rd Irmo SC 29063-9632 |
| Practice Telephone | 8037326635 |
| Practice Fax Number | 8034610655 |
| Mailing Telephone | 8037326635 |
| Mailing Fax Number | 8034610655 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | MS. KELLY BURCHIT (BILLING MANAGER) |
| Authorized Official Telephone | 8646263374 |
| Authorized Official Credential | CBCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICAL LICENSE | 2898 | 01 |
| Street Address |
1032A KINLEY RD |
| City | IRMO |
| State | SC |
| Zip Code | 29063-9632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457539728 | Irmo Family Chiropractic, Inc | Chiropractor | 1032a Kinley Rd, Irmo, SC 29063-9632 | 2008-02-08 |
| 1144791039 | Morgan Andrews | Chiropractor | 1032a Kinley Rd, Irmo, SC 29063-9632 | 2018-12-17 |
| 1164862173 | Brent Scott Tobin | Chiropractor | 1032a Kinley Rd, Irmo, SC 29063-9632 | 2013-07-05 |
| 1629395256 | Grant L Sebastiano | Chiropractor | 1032a Kinley Rd, Irmo, SC 29063-9632 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
| 1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
| 1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
| Find all providers in zip 29063 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1518570589 | Lesa Marie Jackson | Nurse Practitioner | 14 Raintree Ct, Irmo, SC 29063-9431 | 2020-08-28 |
| 1932753738 | Kosha Vyas Richardson | Nurse Practitioner | 434 Crims Creek Way, Irmo, SC 29063-8877 | 2019-07-30 |
| 1275099954 | Lisa Moore | Nurse Practitioner | 6 Misty Glen Ct, Irmo, SC 29063-8134 | 2019-02-18 |
| 1710339890 | Melissa Mcnaughton Bell | Nurse Practitioner | 952 Lake Murray Blvd, Irmo, SC 29063-2954 | 2016-07-12 |
| 1417595455 | Catherine King Thomas | Nurse Practitioner | 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 | 2019-12-19 |
| 1376031393 | Hadyn Stands Gause | Nurse Practitioner | 952 Lake Murray Blvd, Irmo, SC 29063-2954 | 2018-04-25 |
| 1720594914 | Briana Martin Huyck | Nurse Practitioner | 7611 Saint Andrews Rd, Irmo, SC 29063 | 2017-12-26 |
| 1609382597 | Kimberly D. Irwin | Nurse Practitioner | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 | 2017-12-14 |
| 1457873721 | Hunter B Porter | Nurse Practitioner | 1846 Dutch Fork Rd, Irmo, SC 29063 | 2017-07-08 |
| Find all providers in IRMO | ||||
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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.