ULYESSE C EVERALL III (NPI# 1952742942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952742942 |
| Entity Type | Individual |
| Full Name | ULYESSE C EVERALL III |
| Credential | N.P. |
| Practice Address |
1317 Ebenezer Rd Agape Physicians Care Rock Hill SC 29732-2336 |
| Mailing Address |
1624 Main Street Agape Senior Primary Care, Inc. Dba Agape Physicians Care Columbia SC 29201 |
| Practice Telephone | 8032078200 |
| Practice Fax Number | 8032078130 |
| Mailing Telephone | 8034540365 |
| Mailing Fax Number | 8034046000 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2014-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN18357 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1317 EBENEZER RD AGAPE PHYSICIANS CARE |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164635967 | Mandee Joy Kleine | Physical Therapist | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2007-05-08 |
| 1679189435 | Homecare Heroes, Inc. | In Home Supportive Care | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2020-09-17 |
| 1598272684 | Revo Rehab, Inc | Clinic/Center | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2018-01-10 |
| 1942752076 | Charita Monica Johnson | Nurse Practitioner | 1317 Ebenezer Rd, Ltc Health Solutions, Rock Hill, SC 29732 | 2016-10-24 |
| 1003268111 | Scott Sherrill | Physical Therapy Assistant | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2016-07-13 |
| 1194176966 | Angie Kay Huechtker | Occupational Therapist | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2016-06-23 |
| 1437510955 | Donald Niedringhaus | Physical Therapist | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2016-03-10 |
| 1396106084 | Celia Harbold | Physical Therapy Assistant | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2016-03-09 |
| 1861885162 | Paula Maria Baker | Nurse Practitioner | 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2015-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508141854 | Felicia Leung Davis | Nurse Practitioner | 200 S Herlong Ave Ste C, Rock Hill, SC 29732-1182 | 2011-10-19 |
| 1770560526 | Teen Health Center | Nurse Practitioner | 725 Cherry Rd, Suite 104, Rock Hill, SC 29732-3150 | 2005-12-22 |
| 1043213457 | Wanda Kaye Clark | Nurse Practitioner | 1151 Camden Ave, Rock Hill, SC 29732-3014 | 2005-05-31 |
| 1639786932 | Melody Rene Fuller | Nurse Practitioner | 744 Arden Ln Ste 200, Rock Hill, SC 29732-3287 | 2020-09-30 |
| 1558983254 | South Carolina Dept of Mental Health Accounting Office | Nurse Practitioner | 205 Piedmont Blvd Ste 100, Rock Hill, SC 29732-1836 | 2020-05-15 |
| 1518593219 | John Marvin Bethune | Nurse Practitioner | 222 Herlong Ave S, Rock Hill, SC 29732-1158 | 2020-03-14 |
| 1518512029 | Jamie Puckett | Nurse Practitioner | 114 E Main St, Rock Hill, SC 29730-5194 | 2019-08-02 |
| 1093368169 | Mary Goldin | Nurse Practitioner | 2400 W Main St, Rock Hill, SC 29732-8968 | 2019-07-18 |
| 1588227631 | Monica Evans | Nurse Practitioner | 1656 Riverchase Blvd, Suite 3400, Rock Hill, SC 29732-2084 | 2019-04-15 |
| 1629538939 | Monica Diane Freeman | Nurse Practitioner | 170 Amendment Ave, Rock Hill, SC 29732-3073 | 2019-03-22 |
| Find all providers in ROCK HILL | ||||
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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.