Kevin P Tracy (NPI# 1215993159, PAC ID# 3870698467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1215993159 |
| PAC ID by PECOS | 3870698467 |
| Professional Enrollment ID | I20070410000134 |
| Full Name | Kevin P Tracy |
| Organization Legal Name | PROVIDENCE HOUSE CALLS LLC |
| Address |
202 Wall St Piedmont SC 29673-6754 |
| Phone Number | 8642958714 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | RHEUMATOLOGY |
| Group Practice PAC ID | 1759528250 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420007 | SPARTANBURG MEDICAL CENTER |
| 420038 | GHS LAURENS COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 202 Wall St, Piedmont, SC 29673-6754 | 8642958714 | PROVIDENCE HOUSE CALLS LLC |
| Organization Legal Name | PROVIDENCE HOUSE CALLS LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Brown Garrick | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Richmond P Allan | Internal Medicine | Providence House Calls LLC | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 |
| Darci Marie Voitel | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Amanda Claire Newman | Nurse Practitioner | Providence House Calls LLC | 115 Southport Rd, Suite J, Spartanburg, SC 29306-3814 |
| Nancy Tinoco Farrar | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Ashley Thomas Ashford | Nurse Practitioner | Providence House Calls LLC | 115 Southport Rd, Suite J, Spartanburg, SC 29306-3814 |
| Marie Fenelon | Nurse Practitioner | Providence House Calls LLC | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 |
| Jamie Puckett | Nurse Practitioner | Providence House Calls LLC | 115 Southport Rd, Suite J, Spartanburg, SC 29306-3814 |
| Kimberly R Anderson | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Brandi Griffin | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Street Address |
202 WALL ST |
| City | PIEDMONT |
| State | SC |
| Zip | 29673-6754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Brown Garrick | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Darci Marie Voitel | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Nancy Tinoco Farrar | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Kimberly R Anderson | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Brandi Griffin | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Romin Bharat Shah | Internal Medicine | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Paul A Lingoes | Family Medicine | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Kimberly Crawford | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Donna B Becker | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Michael Lloyd Hughes | General Surgery | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackson B Bruce | Family Medicine | Piedmont Family Practice LLC | 115 Beattie Park Rd, Piedmont, SC 29673-1410 |
| John Lindsay Sloan | Family Medicine | Piedmont Family Practice LLC | 115 Beattie Park Rd, Piedmont, SC 29673-1410 |
| Christine A Dowling | Clinical Social Worker | 3113 Hwy 153, Suite G, Piedmont, SC 29673-6200 | |
| William Marion Scott Iii | Family Medicine | 206 Wall St, Piedmont, SC 29673-6754 | |
| Sharon Brown | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Clara Gulyas | General Practice | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Latonya E Burton | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Dana Lee Wiley | Psychiatry | 102 Commons Blvd, C, Piedmont, SC 29673-7766 | |
| Richard Ernest Parnell Jr. | Chiropractic | 108 B Clair Dr, Piedmont, SC 29673-7771 | |
| Robert Stephen Briggs Jr. | Pediatric Medicine | Prisma Health University Medical Group | 1115 Wren School Rd, Piedmont, SC 29673-8033 |
| Find all physicians in zip 29673 | |||
| City | PIEDMONT |
| Zip Code | 29673 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | PIEDMONT + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Kevin P Tracy.
| 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.