Shantae J Jenkins (NPI# 1194923094, PAC ID# 0345435640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1194923094 |
| PAC ID by PECOS | 0345435640 |
| Professional Enrollment ID | I20101112000109 |
| Full Name | Shantae J Jenkins |
| Organization Legal Name | ELITE PATIENT CARE OF SOUTH CAROLINA PC |
| Address |
2375 Baker Hospital Blvd North Charleston SC 29405-8233 |
| Phone Number | 7372266700 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1951672617 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 | 7372266700 | ELITE PATIENT CARE OF SOUTH CAROLINA PC |
| Organization Legal Name | ELITE PATIENT CARE OF SOUTH CAROLINA PC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melodie G Hanks | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Donnielle Lynn Green | Internal Medicine | Elite Patient Care of South Carolina PC | 255 Midland Pkwy, Summerville, SC 29485-8104 |
| Randi K Popp | Family Medicine | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Alan David Laszczynski | Internal Medicine | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Chrissie M Middleton | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Latisha S Hickson | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Leo Joseph Jesion | Internal Medicine | Elite Patient Care of South Carolina PC | 255 Midland Pkwy, Summerville, SC 29485-8104 |
| Shavon Williams | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Sherrika B Evans | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Antonio Gamboa | Internal Medicine | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Street Address |
2375 BAKER HOSPITAL BLVD |
| City | NORTH CHARLESTON |
| State | SC |
| Zip | 29405-8233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melodie G Hanks | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Randi K Popp | Family Medicine | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Alan David Laszczynski | Internal Medicine | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Chrissie M Middleton | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Latisha S Hickson | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Shavon Williams | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Sherrika B Evans | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Antonio Gamboa | Internal Medicine | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Natasha P Stephens | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Eun Jee C Thompson | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor A Young | Physical Therapy | Imagine Physical Therapy North Rhett LLC | 5111 N Rhett Ave, North Charleston, SC 29405-4219 |
| Davis Burr Bradley | Physical Therapy | Imagine Physical Therapy North Rhett LLC | 5111 N Rhett Ave, North Charleston, SC 29405-4219 |
| Tierra B Williams | Physical Therapy | Imagine Physical Therapy North Rhett LLC | 5111 N Rhett Ave, North Charleston, SC 29405-4219 |
| Jay Martin Schwartz I | Chiropractic | 5122 N Rhett Ave, Charleston, SC 29405-4240 | |
| Ruth M Dombrowski | Clinical Social Worker | 4701 W Park Place, N Charleston, SC 29405-4627 | |
| Kelley I Perkins | Optometry | 4740 Ohear Ave, North Charleston, SC 29405-4935 | |
| Edward L Sessions | Chiropractic | 3835 Rivers Ave, North Charleston, SC 29405-7059 | |
| Jonathan J Young | Physician Assistant | American Current Care Pa | 4115 Dorchester Rd, Suite 100, Charleston, SC 29405-7501 |
| Joanna S Harvey | Physician Assistant | American Current Care Pa | 4115 Dorchester Rd, Suite 100, Charleston, SC 29405-7501 |
| Barry Weissglass | Family Medicine | American Current Care Pa | 4115 Dorchester Rd, Suite 100, Charleston, SC 29405-7501 |
| Find all physicians in zip 29405 | |||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NORTH CHARLESTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shantae J Jenkins.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.