OMEGA PRIMARY CARE, LLC (NPI# 1902382963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902382963 |
| Entity Type | Organization |
| Organization Name | OMEGA PRIMARY CARE, LLC |
| Other Organization Name | NORTH ISLAND MEDICAL |
| Practice Address |
157 William Hilton Pkwy Hilton Head Island SC 29926-5218 |
| Mailing Address |
Po Box 21372 Hilton Head Island SC 29925-1372 |
| Practice Telephone | 8438422273 |
| Practice Fax Number | 8438020366 |
| Mailing Telephone | 8438422273 |
| Mailing Fax Number | 8438020366 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-11-29 |
| Authorized Official Name | DR. MICHAEL PETRILLO (MEMBER) |
| Authorized Official Telephone | 8438422273 |
| Authorized Official Credential | DMS, PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
SC | Ambulatory Health Care Facilities | |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North Island Medical | Doing Business As Name - Organization |
| Street Address |
157 WILLIAM HILTON PKWY |
| City | HILTON HEAD ISLAND |
| State | SC |
| Zip Code | 29926-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184678435 | David Edward Dorsner | Family Medicine | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2006-05-20 |
| 1073946745 | Michael Anthony Petrillo | Physician Assistant | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2013-08-16 |
| 1639422892 | The Clinic | Clinical Nurse Specialist | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2012-10-24 |
| 1265752588 | La Clinica | Nurse Practitioner | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2010-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728795 | Island Imaging, LLC | Radiology | 40 Palmetto Parkway, Hilton Head Island, SC 29926 | 2018-11-05 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
| 1114443728 | Rehabcare Group East, LLC | Clinic/Center | 421 Squire Pope Rd, Hilton Head Island, SC 29926 | 2017-08-15 |
| 1043734429 | Laura Ann Elizabeth Mccall | Nurse Practitioner | Dba Ltc Health Solutions, 110 Gardner Dr, Hilton Head Island, SC 29926 | 2017-07-27 |
| 1508286014 | Johan Schutz | Pharmacist | 20 Hanahan Ln, Hilton Head Island, SC 29926 | 2014-04-23 |
| 1740614460 | Tcg Medical Specialists LLC | Emergency Medicine | 19 Moss Creek Village Ste. B4, St. Joseph's/candler Hyperbarics and Wound Care, Hilton Head Island, SC 29926 | 2013-08-29 |
| 1215288790 | Collin George | Physical Therapist | 250 Ladyslipper Lane, Hilton Head, SC 29926 | 2012-09-25 |
| 1508136698 | Podiatry Associates of Hilton Head Pa | Podiatrist | 88 D Main Street, Hilton Head Island, SC 29926 | 2012-01-05 |
| 1467689646 | Moss Creek Sport & Spine Institute Promp Care, LLC | Clinic/Center | 15 Moss Creek Village, Hilton Head, SC 29926 | 2009-06-16 |
| 1245487545 | Kathleen M Shea | Audiologist | 1401 F Main St, Hilton Head Island, SC 29926 | 2008-08-19 |
| Find all providers in zip 29926 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255640785 | Saponara Chiropractic & Sports Injury Center, PC | Clinic/Center | 1 Mathews Dr Ste 109, Hilton Head Island, SC 29926-3747 | 2010-10-01 |
| 1760696173 | Comprehensive Family Care of Bluffton Pa | Clinic/Center | 2 Greenwood Dr, Suite C, Hilton Head Island, SC 29928 | 2007-05-09 |
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|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1841847423 | Healthworks Med Group of South Carolina P C | Clinic/Center | 9051 Palmetto Commerce Pkwy, Ladson, SC 29456-6705 | 2019-08-20 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1447758032 | Crs Eyecare Services, Inc. | Clinic/Center | 112 Rutledge Ave Ste A, Charleston, SC 29401-1333 | 2018-01-29 |
| 1316477060 | Lake City Medical Associates 2017, LLC | Clinic/Center | 130 S Acline St, Lake City, SC 29560-2633 | 2017-06-15 |
| 1417483355 | New Beginnings Health Services | Clinic/Center | 176 Dermis Ave, Hardeeville, SC 29927-4161 | 2017-05-11 |
| 1669919007 | Hypertension and Diabetes Prevention and Treatment Center Inc | Clinic/Center | 1812 Malden Drive, Hdpt Center Inc, Florence, SC 29505-3128 | 2017-01-24 |
| 1093262511 | Quad/med, LLC | Clinic/Center | 224a Harbor Freight Rd, Dillon, SC 29536-8501 | 2016-09-01 |
| 1649623653 | Woods Bay Family Care LLC | Clinic/Center | 128 E Baker St, Olanta, SC 29114-9101 | 2016-07-14 |
| Find all providers with the same taxonomy | ||||
| City | HILTON HEAD ISLAND |
| Zip Code | 29926 |
Please comment or provide details below to improve the information on OMEGA PRIMARY 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.