James Huger Richardson (NPI# 1558395269, PAC ID# 0749356772) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1558395269 |
| PAC ID by PECOS | 0749356772 |
| Professional Enrollment ID | I20080827000494 |
| Full Name | James Huger Richardson |
| Organization Legal Name | PROVIDENCE GROUP PRACTICES II LLC |
| Address |
1330 Haile St Camden SC 29020-3002 |
| Phone Number | 8034326771 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2668768276 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420026 | PROVIDENCE HEALTH |
| 420073 | LEXINGTON MEDICAL CENTER |
| 420053 | NEWBERRY COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1315 Roberts St, Camden, SC 29020-3737 | 8034324311 | PROVIDENCE GROUP PRACTICES II LLC |
| 1330 Haile St, Camden, SC 29020-3002 | 8034326771 | PROVIDENCE GROUP PRACTICES II LLC |
| 1655 Bernardin Ave, Columbia, SC 29204-2039 | PROVIDENCE GROUP PRACTICES II LLC | |
| 2001 Laurel St, Columbia, SC 29204-1018 | 8032543278 | PROVIDENCE GROUP PRACTICES II LLC |
| 2435 Forest Dr, Columbia, SC 29204-2026 | 8034097170 | PROVIDENCE GROUP PRACTICES II LLC |
| Organization Legal Name | PROVIDENCE GROUP PRACTICES II LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Jaynes Belk | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Bashir A Lone | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 506 N St, Bamberg, SC 29003-1319 |
| Himaxi M Maisuria | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 108 Palmetto Park Blvd, Suite C, Lexington, SC 29072-7969 |
| Holly L Grooms | Nurse Practitioner | Providence Group Practices II LLC | 2435 Forest Dr, Columbia, SC 29204-2026 |
| James William Phillips | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 1655 Bernardin Ave, Suite 130, Columbia, SC 29204-2039 |
| Gerald Conrad Bauknight | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 2435 Forest Dr, Columbia, SC 29204-2026 |
| Loren G Morgan | Interventional Cardiology | Providence Group Practices II LLC | 2435 Forest Dr, Columbia, SC 29204-2026 |
| Brandon E Brown | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 1655 Bernardin Ave, Suite 220, Columbia, SC 29204-2044 |
| Himadri Dasgupta | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 506 N St, Bamberg, SC 29003-1319 |
| Charlie W Devlin | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 506 N St, Bamberg, SC 29003-1319 |
| Street Address |
1330 HAILE ST |
| City | CAMDEN |
| State | SC |
| Zip | 29020-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Venkateshwar K Gottipaty | Cardiac Electrophysiology | Providence Group Practices II LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Shelly C Wilkerson | Nurse Practitioner | Providence Group Practices LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Anne Marie Hendrix | Physician Assistant | Providence Group Practices LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Nicole Jones | Nurse Practitioner | Lowcountry Urgent Care LLC | 2010 W Dekalb St, Camden, SC 29020-2058 |
| Sandra D Randolph | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Chanelle C Jackson | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Janette M Capaci | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Sandra A Jones | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Patricia A Siefferman | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Jonathan Braun Ksor | Podiatry | Carolina Podiatry Clinic LLC | 2502 Broad St, Camden, SC 29020-2225 |
| John Ksor | Podiatry | Carolina Podiatry Clinic LLC | 2502 Broad St, Camden, SC 29020-2225 |
| James C Kearse Iii | Family Medicine | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Ashley B Divers | Nurse Practitioner | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Find all physicians in zip 29020 | |||
| City | CAMDEN |
| Zip Code | 29020 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | CAMDEN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| 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.