GARY J BARRETT MD PA (NPI# 1982642880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982642880 |
| Entity Type | Organization |
| Organization Name | GARY J BARRETT MD PA |
| Other Organization Name | CORPORATION |
| Practice Address |
3109 Casey St Loris SC 29569 |
| Mailing Address |
Po Box 156 Loris SC 29569 |
| Practice Telephone | 8437568090 |
| Mailing Telephone | 8437568090 |
| Mailing Fax Number | 8437566122 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GARY J BARRETT (OWNER) |
| Authorized Official Telephone | 8437568090 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11051 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP0648 | 05 | |
| NC | 890136N | 05 |
| Other Name | Type Code |
|---|---|
| Corporation | Other Name - Individual/Organization |
| Street Address |
3109 CASEY ST |
| City | LORIS |
| State | SC |
| Zip Code | 29569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720629512 | Paul Wells James | Nurse Practitioner | 3109 Casey St, Loris, SC 29569-2807 | 2019-10-02 |
| 1285904664 | Mcleod Physician Associates II | Internal Medicine | 3109 Casey St, Suite B, Loris, SC 29569-2807 | 2012-01-03 |
| 1205113248 | Mcleod Physician Associates II | Nurse Practitioner | 3109 Casey St, Loris, SC 29569-2807 | 2011-11-04 |
| 1316267396 | Donna C Sellers | Nurse Practitioner | 3109 Casey St, Suite A, Loris, SC 29569-2807 | 2010-06-01 |
| 1073684577 | Wanda W Grainger | Nurse Practitioner | 3109 Casey St, Suite A, Loris, SC 29569-2807 | 2006-11-13 |
| 1578571592 | Gary Joseph Barrett | Internal Medicine | 3109 Casey St, Suite B, Loris, SC 29569-2807 | 2006-08-04 |
| 1265458251 | Seashore Pediatrics | Pediatrics | 3109 Casey St, Box 669, Loris, SC 29569-2807 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427464247 | Denise Logan | Dietitian, Registered | 3811 Walnut St, Loris, SC 29569 | 2014-07-02 |
| 1801231634 | Melissa Ann Miara | Internal Medicine | 3617 Casey St Ste C, Loris, SC 29569 | 2013-05-07 |
| 1356684161 | Gwyn Gordon Mcgutchen | Dentist | 3681 Spivey St., Loris, SC 29569 | 2013-03-29 |
| 1336486174 | Winferd Dale Holt | Dentist | 3980 Main Street, Loris, SC 29569 | 2013-01-14 |
| 1528314325 | Southern Living Emergency Physicians LLC | Physician Assistant | 6988 Mitchell Street, Loris, SC 29569 | 2012-07-30 |
| 1124347604 | Regina F. Holmes | Nurse Practitioner | Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 | 2010-05-24 |
| 1801914122 | Dr Gwyn Gordon Mccutchen Inc | Dentist | 3681 Spivey Street, Loris, SC 29569 | 2007-03-26 |
| 1700911203 | Twin States Helping Hands | Home Health | 1620 Hwy 701 N, Loris, SC 29569 | 2007-02-23 |
| 1306922646 | Loris Community Hospital District | Clinic/Center | 3204 Casey St, Loris, SC 29569 | 2006-10-30 |
| 1619074119 | South Carolina Cvs Pharmacy LLC | Pharmacy | 4767 Broad St, Loris, SC 29569 | 2006-09-20 |
| Find all providers in zip 29569 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801231634 | Melissa Ann Miara | Internal Medicine | 3617 Casey St Ste C, Loris, SC 29569 | 2013-05-07 |
| 1962753988 | Mohamed Bassiouny | Internal Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2012-10-01 |
| 1285904664 | Mcleod Physician Associates II | Internal Medicine | 3109 Casey St, Suite B, Loris, SC 29569-2807 | 2012-01-03 |
| 1003183120 | Mcleod Physician Associates II | Internal Medicine | 3418 Casey St, Loris, SC 29569-2904 | 2011-11-17 |
| 1841428125 | Loris Physician Services | Internal Medicine | 3655 Mitchell Street, Box 690001, Loris, SC 29569-9601 | 2009-06-25 |
| 1669679007 | Fady S Grace | Internal Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2007-06-29 |
| 1679665608 | Christopher L Po | Internal Medicine | 3617 Casey St, Suite C, Loris, SC 29569-2981 | 2006-09-28 |
| 1710078282 | Keith G Harkins | Internal Medicine | 3418 Casey St, Loris, SC 29569-2904 | 2006-09-27 |
| 1578571592 | Gary Joseph Barrett | Internal Medicine | 3109 Casey St, Suite B, Loris, SC 29569-2807 | 2006-08-04 |
| 1083650998 | Talbot Mccormick | Internal Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2006-06-20 |
| Find all providers in LORIS | ||||
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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.