Lydia C Elliott (NPI# 1275916058, PAC ID# 0941516504) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED NURSE MIDWIFE (CNM).
| Nation Provider ID (NPI) | 1275916058 |
| PAC ID by PECOS | 0941516504 |
| Professional Enrollment ID | I20150827003283 |
| Full Name | Lydia C Elliott |
| Organization Legal Name | TANDEM HEALTH SC |
| Address |
319 N Main St Sumter SC 29150-4258 |
| Phone Number | 8037744500541 |
| Gender | F |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| Group Practice PAC ID | 3870575855 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420070 | TUOMEY HEALTHCARE SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 319 N Main St, Sumter, SC 29150-4258 | 8037744500541 | TANDEM HEALTH SC |
| Organization Legal Name | TANDEM HEALTH SC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Hall Iii | Nurse Practitioner | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Aboagye Agyenim-boateng | Obstetrics/gynecology | Tandem Health Sc | 319 N Main St, Sumter, SC 29150-4258 |
| Joel J Snipe | Obstetrics/gynecology | Tandem Health Sc | 370 S Pike W, Sumter, SC 29150-2664 |
| Leslie R Justice | Certified Clinical Nurse Specialist (cns) | Tandem Health Sc | 25 E Clark St, Pinewood, SC 29125-8989 |
| Michael B Coseo | Registered Dietitian Or Nutrition Professional | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Jonathan P Ashley | Family Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Karen Page | Clinical Social Worker | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Jacquelyn Suzanne Gill | Internal Medicine | Tandem Health Sc | 25 E Clark St, Pinewood, SC 29125-8989 |
| Richard A Wall Jr. | Family Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Frederick C. Stone | Family Medicine | Tandem Health Sc | 1278 N Lafayette Dr, Sumter, SC 29150-2964 |
| Street Address |
319 N MAIN ST |
| City | SUMTER |
| State | SC |
| Zip | 29150-4258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aboagye Agyenim-boateng | Obstetrics/gynecology | Tandem Health Sc | 319 N Main St, Sumter, SC 29150-4258 |
| Kayla Boykin | Nurse Practitioner | Tandem Health Sc | 319 N Main St, Sumter, SC 29150-4258 |
| Amanda Haddad | Certified Nurse Midwife (cnm) | Tandem Health Sc | 319 N Main St, Sumter, SC 29150-4258 |
| Noreen Post | Nurse Practitioner | Tandem Health Sc | 319 N Main St, Sumter, SC 29150-4258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Stacey Kelso | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Karly M Yarnish | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Myra Cooke | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Harry A Jordan Jr. | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| James R Mcmahon | Nurse Practitioner | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Ansel Rose Mcfaddin Iii | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Katherine A Coffey | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Emily J Miller | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Find all physicians in zip 29150 | |||
| City | SUMTER |
| Zip Code | 29150 |
| Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| City + Specialty | SUMTER + CERTIFIED NURSE MIDWIFE (CNM) |
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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.