Kerri B Evans (NPI# 1326556176, PAC ID# 3476815580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1326556176 |
| PAC ID by PECOS | 3476815580 |
| Professional Enrollment ID | I20180329000005 |
| Full Name | Kerri B Evans |
| Organization Legal Name | ATLANTIC UROLOGY CLINICS LLC |
| Address |
1001 N Fraser St Georgetown SC 29440-2848 |
| Phone Number | 8435272421 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0840296638 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| 420020 | TIDELANDS HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1001 N Fraser St, Georgetown, SC 29440-2848 | 8435272421 | ATLANTIC UROLOGY CLINICS LLC |
| 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 | 8433998930 | ATLANTIC UROLOGY CLINICS LLC |
| 3911 Hwy 17, Murrells Inlet, SC 29576-5014 | 8436524000 | ATLANTIC UROLOGY CLINICS LLC |
| 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8434491010 | ATLANTIC UROLOGY CLINICS LLC |
| Organization Legal Name | ATLANTIC UROLOGY CLINICS LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey A Rogers | Nurse Practitioner | Atlantic Urology Clinics LLC | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Renee J Flanegan | Nurse Practitioner | Atlantic Urology Clinics LLC | 199 Village Ctr Blvd, Suite 100, Myrtle Beach, SC 29579-3589 |
| Melanie D Lawrence | Nurse Practitioner | Atlantic Urology Clinics LLC | 394 Singleton Ridge Rd, Conway, SC 29526-9150 |
| Neal D Shore | Urology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Harvey W Putnam Jr. | Physician Assistant | Atlantic Urology Clinics LLC | 4000 Hwy 9 E, Suite 275, Little River, SC 29566-7833 |
| Lauren D Evans | Nurse Practitioner | Atlantic Urology Clinics LLC | 4000 Hwy 9 E, Suite 275, Little River, SC 29566-7833 |
| Walter L Frank | Urology | Atlantic Urology Clinics LLC | 1001 N Fraser St, Georgetown, SC 29440-2848 |
| Kailen Gonzalez | Physician Assistant | Atlantic Urology Clinics LLC | 394 Singleton Ridge Rd, Conway, SC 29526-9150 |
| Andrew R Grudzinski | Urology | Atlantic Urology Clinics LLC | 394 Singleton Ridge Rd, Conway, SC 29526-9150 |
| Thomas S Cerasaro | Urology | Atlantic Urology Clinics LLC | 1001 N Fraser St, Georgetown, SC 29440-2848 |
| Street Address |
1001 N FRASER ST |
| City | GEORGETOWN |
| State | SC |
| Zip | 29440-2848 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gery B Katalinich | Podiatry | 1001 N Fraser St, Georgetown, SC 29440-2848 | |
| Walter L Frank | Urology | Atlantic Urology Clinics LLC | 1001 N Fraser St, Georgetown, SC 29440-2848 |
| Thomas S Cerasaro | Urology | Atlantic Urology Clinics LLC | 1001 N Fraser St, Georgetown, SC 29440-2848 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne M Blakeley | Nurse Practitioner | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Patricia R Grant | Interventional Pain Management | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Barbara Lynn Horn-weisgerber | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Owen Cannon Johnson | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Kaleigh Elizabeth Hudak | Physician Assistant | Georgetown Physician Associates LLC | 469 Marina Dr, Georgetown, SC 29440-2410 |
| Terry L Fry | Otolaryngology | 401 Marina Dr, Georgetown, SC 29440-2410 | |
| Alfred J Daniels | Family Medicine | St. James-santee Family Health Center Inc. | 2020 Highmarket St, Georgetown, SC 29440-2618 |
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Ashley Marie Miller | Nurse Practitioner | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Xaviera M Carter | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Find all physicians in zip 29440 | |||
| City | GEORGETOWN |
| Zip Code | 29440 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GEORGETOWN + NURSE PRACTITIONER |
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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.