EDISTO REGIONAL HEALTH SERVICES INC. (NPI# 1952350142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952350142 |
| Entity Type | Organization |
| Organization Name | EDISTO REGIONAL HEALTH SERVICES INC. |
| Other Organization Name | FAMILY PRACTICE ASSOCIATES OF HOLLY HILL |
| Practice Address |
187 Bunch Ford Road Holly Hill SC 29059 |
| Mailing Address |
Po Box 188 Holly Hill SC 29059-0188 |
| Practice Telephone | 8034963312 |
| Mailing Telephone | 8033954480 |
| Mailing Fax Number | 8033954499 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | LISA M GOODLETT (C.O.O) |
| Authorized Official Telephone | 8033952462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2353 | 05 |
| Other Name | Type Code |
|---|---|
| Family Practice Associates of Holly Hill | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1003130956 | Edisto Regional Health Services Inc. | Family Medicine | 498 North Street, Bamberg, SC 29003-1377 | 2010-03-22 |
| 1346644119 | Edisto Regional Health Services Inc. | Radiology | 1728 Village Park Dr, Orangeburg, SC 29118-2426 | 2014-10-22 |
| 1548529696 | Edisto Regional Health Services Inc. | Family Medicine | 1750 Village Park Dr, Orangeburg, SC 29118-2457 | 2012-05-10 |
| 1720384514 | Edisto Regional Health Services Inc. | Family Medicine | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2011-01-27 |
| 1639475429 | Edisto Regional Health Services Inc. | Family Medicine | 1619 Carolina Ave, Orangeburg, SC 29115-4939 | 2011-01-27 |
| 1841595667 | Edisto Regional Health Services Inc. | Clinic/Center | 4631 Savannah Highway, North, SC 29112-8180 | 2011-01-26 |
| 1598080079 | Edisto Regional Health Services Inc. | Family Medicine | 5073 Carolina Hwy, Denmark, SC 29042-1679 | 2010-03-29 |
| 1366766222 | Edisto Regional Health Services Inc. | Family Medicine | 498 North St, Bamberg, SC 29003-1377 | 2010-03-22 |
| 1225364870 | Edisto Regional Health Services Inc. | Family Medicine | 1619 Carolina Ave, Orangeburg, SC 29115-4939 | 2009-11-02 |
| Street Address |
187 BUNCH FORD ROAD |
| City | HOLLY HILL |
| State | SC |
| Zip Code | 29059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740496165 | Constance B Simons | Nurse Practitioner | 187 Bunch Ford Road, Holly Hill, SC 29059 | 2007-05-15 |
| 1013060953 | Edisto Regional Health Services, Inc. | Family Medicine | 187 Bunch Ford Road, Holly Hill, SC 29059-8224 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376918979 | Community Organization for Rights and Empowerment | Voluntary or Charitable | 1250 Unity Road, Holly Hill, SC 29059 | 2015-12-08 |
| 1518351139 | Holly Street Drugs, LLC | Pharmacy | 904 Holly Street, Holly Hill, SC 29059 | 2015-03-20 |
| 1710310735 | Troy Blakely Lamb | Pharmacist | 8530 Old State Rd., Holly Hill, SC 29059 | 2013-08-13 |
| 1861742231 | Michael James Myers | Pharmacist | 8523 Old State Road, Holly Hill, SC 29059 | 2012-09-13 |
| 1215208822 | Robert Rodelsperger Dmd Pa | Dentist | 912 Holly St, Holly Hill, SC 29059 | 2012-01-13 |
| 1053624262 | Stephanie R Jamison | Counselor | 421 Gardener Boulevard, Holly Hill, SC 29059 | 2010-07-16 |
| 1619158771 | Adams Optical Dba Holly Hill Eye Clinic | Optometrist | 190 Rental Dr., Holly Hill, SC 29059 | 2007-11-16 |
| 1780736710 | Total Comfort Adult Daycare | Home Health | 1706 Camden Rd, Holly Hill, SC 29059 | 2007-01-18 |
| 1255490314 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8523 Old State Rd, Holly Hill, SC 29059 | 2006-12-06 |
| 1881797900 | Chucks Pharmacy Inc | Pharmacy | 904 Holly St, Holly Hill, SC 29059 | 2006-09-06 |
| Find all providers in zip 29059 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864885 | Loren D Harter | Family Medicine | 922 Holly St, Holly Hill, SC 29059 | 2005-07-12 |
| 1013060953 | Edisto Regional Health Services, Inc. | Family Medicine | 187 Bunch Ford Road, Holly Hill, SC 29059-8224 | 2007-01-22 |
| 1679589451 | Charles F Way | Family Medicine | 922 Holly St, Holly Hill, SC 29059-2762 | 2006-07-31 |
| 1053366765 | Robert W Sessoms | Family Medicine | 645 Ridgewood Ave, Holly Hill, FL 32117 | 2006-05-23 |
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| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY HILL |
| Zip Code | 29059 |
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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.