Tracy E Kelecava (NPI# 1487079877, PAC ID# 4981823150) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487079877 |
| PAC ID by PECOS | 4981823150 |
| Professional Enrollment ID | I20140920000245 |
| Full Name | Tracy E Kelecava |
| Organization Legal Name | PIEDMONT PHYSICIAN NETWORK LLC |
| Address |
207 Church St Clover SC 29710-1008 |
| Phone Number | 8032223063 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911287552 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420002 | PIEDMONT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 207 Church St, Clover, SC 29710-1008 | 8032223063 | PIEDMONT PHYSICIAN NETWORK LLC |
| 200 S Herlong Ave, Rock Hill, SC 29732-1182 | PIEDMONT PHYSICIAN NETWORK LLC | |
| 1023 Creekside Medical Dr, York, SC 29745-8624 | 8036843730 | PIEDMONT PHYSICIAN NETWORK LLC |
| 1190 Filbert Hwy, Suite 110, York, SC 29745-9324 | 8036280004 | PIEDMONT PHYSICIAN NETWORK LLC |
| Organization Legal Name | PIEDMONT PHYSICIAN NETWORK LLC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grea Quinn | Nurse Practitioner | Piedmont Physician Network LLC | 1023 Creekside Medical Dr, York, SC 29745-8624 |
| Bukie O Adefabi | Family Medicine | Piedmont Physician Network LLC | 515 Rivercrossing Dr, Suite 180, Fort Mill, SC 29715-7900 |
| Frances P Bailey | Obstetrics/gynecology | Piedmont Physician Network LLC | 1666 Hwy 160 W, Fort Mill, SC 29708-8024 |
| Rashid Molin Ansari | General Practice | Piedmont Physician Network LLC | 773 Stockbridge Dr, Fort Mill, SC 29708-7200 |
| Pratik A Mehta | Family Medicine | Piedmont Physician Network LLC | 502 6th Baxter Xing, Fort Mill, SC 29708-6596 |
| George T. Barron Jr. | Family Medicine | Piedmont Physician Network LLC | 200 S Herlong Ave, Rock Hill, SC 29732-1182 |
| James L Hubbard | Obstetrics/gynecology | Piedmont Physician Network LLC | 360 S Herlong Ave, Rock Hill, SC 29732-1160 |
| Mehrdad Yousefian | Internal Medicine | Piedmont Physician Network LLC | 3248 Edgeland Hwy, Richburg, SC 29729-9478 |
| Eric Gordon Johnson | Family Medicine | Piedmont Physician Network LLC | 2633 Celanese Rd, Rock Hill, SC 29732-1205 |
| Henry F Crotwell | Family Medicine | Piedmont Physician Network LLC | 207 Church St, Clover, SC 29710-1008 |
| Street Address |
207 CHURCH ST |
| City | CLOVER |
| State | SC |
| Zip | 29710-1008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry F Crotwell | Family Medicine | Piedmont Physician Network LLC | 207 Church St, Clover, SC 29710-1008 |
| Shelaila Neri Villamor | Family Medicine | Piedmont Physician Network LLC | 207 Church St, Clover, SC 29710-1008 |
| Aida Jacic | Family Medicine | Piedmont Physician Network LLC | 207 Church St, Clover, SC 29710-1008 |
| David O Holman Jr. | Family Medicine | Piedmont Physician Network LLC | 207 Church St, Clover, SC 29710-1008 |
| Anthony Barry Harlow | Chiropractic | 207 Church St, Dickson, TN 37055-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Al Glaza | Chiropractic | 548 Nautical Dr, Suite 204, Lake Wylie, SC 29710-0018 | |
| Scott Walter Brodnax | Chiropractic | 225 Church St, Clover, SC 29710-1008 | |
| Jennifer Williams | Clinical Social Worker | Thrive Family Services LLC | 508 Bethel St, Clover, SC 29710-1154 |
| Christopher D Haring | Chiropractic | 719 Bethel St, Clover, SC 29710-1157 | |
| Shalini L Maharaj | Optometry | 175 Hwy 274, Lake Wylie, SC 29710-6045 | |
| Thomas Calvin Mealing | Physical Therapy | Ivyrehab Focus, Inc. | 439 Channel Rd, Suite 102, Lake Wylie, SC 29710-6101 |
| Mindy L Blitzer | Physical Therapy | Ivyrehab Focus, Inc. | 439 Channel Rd, Suite 102, Lake Wylie, SC 29710-6101 |
| Richard F Biggers | Physical Therapy | Ivyrehab Focus, Inc. | 439 Channel Rd, Suite 102, Lake Wylie, SC 29710-6101 |
| Sarah West | Physical Therapy | Ivyrehab Focus, Inc. | 439 Channel Rd, Suite 102, Lake Wylie, SC 29710-6101 |
| Lewis Tyler Savisky | Physical Therapy | Ivyrehab Focus, Inc. | 439 Channel Rd, Suite 102, Lake Wylie, SC 29710-6101 |
| Find all physicians in zip 29710 | |||
| City | CLOVER |
| Zip Code | 29710 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLOVER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tracy E Kelecava.
| 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.