CHEROKEE PEDIATRIC ASSOCIATES, LLC (NPI# 1730233172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730233172 |
Entity Type | Organization |
Organization Name | CHEROKEE PEDIATRIC ASSOCIATES, LLC |
Other Organization Name | CAROLINA PEDIATRIC ASSOCIATES |
Practice Address |
301 W Pine St Blacksburg SC 29702-1549 |
Practice Telephone | 8648394325 |
Practice Fax Number | 8648399901 |
Mailing Telephone | 8648394325 |
Mailing Fax Number | 8648399901 |
Enumeration Date | 2007-01-23 |
Last Update Date | 2009-02-25 |
Authorized Official Name | DAREN EDWARD CARLING (OWNER) |
Authorized Official Telephone | 8648394325 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
23503 | SC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | RHC159 | 05 |
Other Name | Type Code |
---|---|
Carolina Pediatric Associates | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841344280 | Cherokee Pediatric Associates, LLC | Clinic/Center | 1610 B North Limestone St, Gaffney, SC 29340-2312 | 2007-01-23 |
Street Address |
301 W PINE ST |
City | BLACKSBURG |
State | SC |
Zip Code | 29702-1549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164495594 | Daren E Carling | Pediatrics | 301 W Pine St, Blacksburg, SC 29702-1549 | 2006-02-08 |
1235699901 | Alesia Nicole Mcfarlin | Nurse Practitioner | 301 W Pine St, Blacksburg, SC 29702-1549 | 2019-03-20 |
1821440215 | Dorian Mann | Nurse Practitioner | 301 W Pine St, Blacksburg, SC 29702-1549 | 2016-07-08 |
1952544132 | Molly Hoeffner | Physician Assistant | 301 W Pine St, Blacksburg, SC 29702-1549 | 2009-04-17 |
1265533574 | Carol S Berry | Nurse Practitioner | 301 W Pine St, Blacksburg, SC 29702-1549 | 2006-09-26 |
1811960248 | Cherokee Pediatric Associates | Preferred Provider Organization | 301 W Pine St, Blacksburg, SC 29702-1549 | 2006-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316315054 | Jim Nasim Dmd, Pa | Dentist | 305 West Pine Street, Blacksburg, SC 29702 | 2015-09-11 |
1396163317 | Tammie Peterson | Licensed Practical Nurse | 402 Hardin Street, Blacksburg, SC 29702 | 2014-04-07 |
1861810343 | Tamera Randolph | Registered Nurse | 201 W. Ramseur Dr., Blackburg, SC 29702 | 2014-04-02 |
1821424045 | Healthstat On-site Clinic/milliken Allen | Preventive Medicine | 164 Milliken St, Blacksburg, SC 29702 | 2013-09-19 |
1942636154 | Healthstat On-site Clinic/milliken Magnolia | Preventive Medicine | 157 Milliken Rd., Blacksburg, SC 29702 | 2013-09-19 |
1366605214 | Leah Quirita Walden | Dentist | 2022 Cherry Road, Rock Hill, SC 29702 | 2008-07-09 |
1972792398 | Ron C Sisk | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702 | 2007-10-22 |
1952347320 | Philip Edward Brafford Jr. | Chiropractor | 1742 W Cherokee Street, Blacksburg, SC 29702 | 2006-06-22 |
1457828329 | Supreme Management and Associates, LLC | Home Health | 107 1/2 W Cherokee St, Blacksburg, SC 29702-1501 | 2018-10-30 |
1518221258 | Jamie S Earls | Massage Therapist | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2012-06-27 |
Find all providers in zip 29702 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508482050 | The Palmetto Clinics, LLC | Clinic/Center | 463 Calhoun Ave Ste A-2, Greenwood, SC 29649-2063 | 2020-06-21 |
1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
Find all providers with the same taxonomy |
City | BLACKSBURG |
Zip Code | 29702 |
Please comment or provide details below to improve the information on CHEROKEE PEDIATRIC ASSOCIATES, 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.