Renee Ellis (NPI# 1134391733, PAC ID# 4789608381) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1134391733 |
| PAC ID by PECOS | 4789608381 |
| Professional Enrollment ID | I20080826000441 |
| Full Name | Renee Ellis |
| Organization Legal Name | COLUMBIA NEPHROLOGY ASSOCIATES PA |
| Address |
909 Carolina Dr Lugoff SC 29078-8766 |
| Phone Number | 8034086808 |
| Gender | F |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1999 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 9537128533 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420018 | PALMETTO HEALTH RICHLAND |
| 420073 | LEXINGTON MEDICAL CENTER |
| 420026 | PROVIDENCE HEALTH |
| 420070 | TUOMEY HEALTHCARE SYSTEM |
| 420106 | PALMETTO HEALTH BAPTIST PARKRIDGE |
| Address | Phone | Organization |
|---|---|---|
| 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 | 8032529907210 | COLUMBIA NEPHROLOGY ASSOCIATES PA |
| 909 Carolina Dr, Lugoff, SC 29078-8766 | 8034086808 | COLUMBIA NEPHROLOGY ASSOCIATES PA |
| Organization Legal Name | COLUMBIA NEPHROLOGY ASSOCIATES PA |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Richmond | Nephrology | Columbia Nephrology Associates Pa | 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 |
| Prakash N Prabhu | Nephrology | Columbia Nephrology Associates Pa | 909 Carolina Dr, Lugoff, SC 29078-8766 |
| Nzisa Mutinga | Nephrology | Columbia Nephrology Associates Pa | 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 |
| Thomas Wheeler | Nephrology | Columbia Nephrology Associates Pa | 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 |
| Meera P Suthar | Nurse Practitioner | Columbia Nephrology Associates Pa | 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 |
| Jeremy Joseph Sorkin | Nephrology | Columbia Nephrology Associates Pa | 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 |
| Joanne A Crossan | Nurse Practitioner | Columbia Nephrology Associates Pa | 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 |
| Thomas Powell | Nephrology | Columbia Nephrology Associates Pa | 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 |
| Sarah A Sightler | Nurse Practitioner | Columbia Nephrology Associates Pa | 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 |
| Joseph Brannigan | Nephrology | Columbia Nephrology Associates Pa | 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 |
| Street Address |
909 CAROLINA DR |
| City | LUGOFF |
| State | SC |
| Zip | 29078-8766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prakash N Prabhu | Nephrology | Columbia Nephrology Associates Pa | 909 Carolina Dr, Lugoff, SC 29078-8766 |
| Gregory W Smith | Nephrology | Columbia Nephrology Associates Pa | 909 Carolina Dr, Lugoff, SC 29078-8766 |
| Rajeev N Shenoy | Nephrology | Columbia Nephrology Associates Pa | 909 Carolina Dr, Lugoff, SC 29078-8766 |
| Manish Kadian | Nephrology | Columbia Nephrology Associates Pa | 909 Carolina Dr, Lugoff, SC 29078-8766 |
| David Shure | Nephrology | Columbia Nephrology Associates Pa | 909 Carolina Dr, Lugoff, SC 29078-8766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin R Stephenson | Rheumatology | Palmetto Infusion Services LLC | 1165 Hwy 1 S, Suite 100, Lugoff, SC 29078-8803 |
| Lance Duvall | Family Medicine | Palmetto Infusion Services LLC | 1165 Hwy 1 S, Suite 100, Lugoff, SC 29078-8803 |
| Devin J Troyer | Physical Medicine and Rehabilitation | Rehab and Geriatrics | 1165 Hwy 1 S 300, Lugoff, SC 29078-8966 |
| Olajide A Balogun | Internal Medicine | 1165 Hwy 1 S, Suite 200, Lugoff, SC 29078-8966 | |
| Sterling J Connell | Chiropractic | 20 Townlee Ln, C, Lugoff, SC 29078-8989 | |
| Orson A Ravenell | Obstetrics/gynecology | Kraemer Women's Care, LLC | 20 Townlee Ln D, Lugoff, SC 29078-8989 |
| Todd Kraemer | Obstetrics/gynecology | Kraemer Women's Care, LLC | 20 Townlee Ln D, Lugoff, SC 29078-8989 |
| Felicia Denise Harris | Nurse Practitioner | South Carolina Ent Allergy and Sleep Medicine Pa | 15 Exchange Dr, Lugoff, SC 29078-9198 |
| Jacob Patrick Ossoff | Otolaryngology | South Carolina Ent Allergy and Sleep Medicine Pa | 15 Exchange Dr, Lugoff, SC 29078-9198 |
| Leigh Ann Romer | Physician Assistant | South Carolina Ent Allergy and Sleep Medicine Pa | 15 Exchange Dr, Lugoff, SC 29078-9198 |
| Find all physicians in zip 29078 | |||
| City | LUGOFF |
| Zip Code | 29078 |
| Specialty | NEPHROLOGY |
| City + Specialty | LUGOFF + NEPHROLOGY |
Please comment or provide details below to improve the information on Renee Ellis.
| 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.