Lisa Rose Centilli (NPI# 1033417522, PAC ID# 3870726482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033417522 |
| PAC ID by PECOS | 3870726482 |
| Professional Enrollment ID | I20190621002724 |
| Full Name | Lisa Rose Centilli |
| Organization Legal Name | GEORGETOWN PHYSICIAN ASSOCIATES LLC |
| Address |
11916 Hwy 707 Murrells Inlet SC 29576-9610 |
| Phone Number | 8436528450 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2365697398 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11916 Hwy 707, Murrells Inlet, SC 29576-9610 | 8436528450 | GEORGETOWN PHYSICIAN ASSOCIATES LLC |
| Organization Legal Name | GEORGETOWN PHYSICIAN ASSOCIATES LLC |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mylena Ann Yee | Physician Assistant | Georgetown Physician Associates LLC | 2200 Crow Ln, Myrtle Beach, SC 29577-1663 |
| Kaleigh Elizabeth Hudak | Physician Assistant | Georgetown Physician Associates LLC | 469 Marina Dr, Georgetown, SC 29440-2410 |
| Stephanie Marie Gonshor | Nurse Practitioner | Georgetown Physician Associates LLC | 2347s Hwy 17 Business S, Garden City, SC 29576 |
| Earl James Han | Orthopedic Surgery | Georgetown Physician Associates LLC | 2185 N Fraser St, Georgetown, SC 29440-6418 |
| Erica D Kouns | Nurse Practitioner | Georgetown Physician Associates LLC | 1011 N Fraser St, Georgetown, SC 29440-2848 |
| Melanie Houston Sanders | Family Medicine | Georgetown Physician Associates LLC | 4320 Holmestown Rd, Myrtle Beach, SC 29588-7837 |
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Michelle Lynn Rottner | Nurse Practitioner | Georgetown Physician Associates LLC | 11916 Hwy 707, Murrells Inlet, SC 29576-9610 |
| Jacob Hurlan Brazee | Internal Medicine | Georgetown Physician Associates LLC | 4301 Dick Pond Rd, Myrtle Beach, SC 29588-6807 |
| Glen Neal Lilly Ii | Physician Assistant | Georgetown Physician Associates LLC | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 |
| Street Address |
11916 HWY 707 |
| City | MURRELLS INLET |
| State | SC |
| Zip | 29576-9610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Lynn Rottner | Nurse Practitioner | Georgetown Physician Associates LLC | 11916 Hwy 707, Murrells Inlet, SC 29576-9610 |
| Michael C Malinics | Cardiovascular Disease (cardiology) | Georgetown Physician Associates LLC | 11916 Hwy 707, Murrells Inlet, SC 29576-9610 |
| Virginia Johnston | Nurse Practitioner | Georgetown Physician Associates LLC | 11916 Hwy 707, Murrells Inlet, SC 29576-9610 |
| William J Epperson | Family Medicine | Georgetown Physician Associates LLC | 11916 Hwy 707, Murrells Inlet, SC 29576-9610 |
| Lori A Hess | Family Medicine | Georgetown Physician Associates LLC | 11916 Hwy 707, Murrells Inlet, SC 29576-9610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Marie Gonshor | Nurse Practitioner | Georgetown Physician Associates LLC | 2347s Hwy 17 Business S, Garden City, SC 29576 |
| Jessica Morjain | Internal Medicine | Georgetown Physician Associates LLC | 2347s Hwy 17 Business S, Garden City, SC 29576 |
| James E Turek | Family Medicine | Georgetown Physician Associates LLC | 2347s Hwy 17 Business S, Garden City, SC 29576 |
| Christopher Darin Mann | Family Medicine | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Sonia Suda | Hospitalist | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Jay T Johnson | Emergency Medicine | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Scott A Coradi | Emergency Medicine | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Peggy Y Lively | Nurse Practitioner | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Christina R Hardwick | Physician Assistant | Waccamaw Community Hospital | 4070 Hwy 17 By Pass, Murrells Inlet, SC 29576-3350 |
| Lamberto S Paragas Jr. | Emergency Medicine | Georgetown Physician Associates LLC | 4367 Riverwood Dr, Unit 140, Murrells Inlet, SC 29576-4381 |
| Find all physicians in zip 29576 | |||
| City | MURRELLS INLET |
| Zip Code | 29576 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MURRELLS INLET + FAMILY MEDICINE |
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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.