Susan K Mathis (NPI# 1659608222, PAC ID# 5193903706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1659608222 |
| PAC ID by PECOS | 5193903706 |
| Professional Enrollment ID | I20140220000965 |
| Full Name | Susan K Mathis |
| Organization Legal Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH |
| Address |
164 Waccamaw Med Pk Rd Conway SC 29526-8903 |
| Phone Number | 8433475060 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9032021175 |
| Number of Group Practice Members | 158 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420049 | CONWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 | 8433475060 | SOUTH CAROLINA DEPT OF MENTAL HEALTH |
| Organization Legal Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jagdish V Shah | Psychiatry | South Carolina Dept of Mental Health | 250 Piedmont Blvd, Rock Hill, SC 29732-1835 |
| Cathleen A Miller | Psychiatry | South Carolina Dept of Mental Health | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 |
| Deepa Sobti | Psychiatry | South Carolina Dept of Mental Health | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 |
| Shalini Mittal | Internal Medicine | South Carolina Dept of Mental Health | 220 Faison Dr, Columbia, SC 29203-3210 |
| Brenda Ratliff | Psychiatry | South Carolina Dept of Mental Health | 2414 Bull St, Columbia, SC 29201-1906 |
| Queen J Flowers | Nurse Practitioner | South Carolina Dept of Mental Health | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 |
| Elin B Berg | Psychiatry | South Carolina Dept of Mental Health | 1035 Cheraw Hwy, Bennettsville, SC 29512-2422 |
| Susan B Redge | Psychiatry | South Carolina Dept of Mental Health | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| James G Gibbs | Psychiatry | South Carolina Dept of Mental Health | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Frank Eugene Forsthoefel | Psychiatry | South Carolina Dept of Mental Health | 250 Dewey Ave, Spartanburg, SC 29303-3009 |
| Street Address |
164 WACCAMAW MED PK RD |
| City | CONWAY |
| State | SC |
| Zip | 29526-8903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael K Smith | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Melinda E Edwards | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Nancy Elizabeth Hoevenaar | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Stephanie L Price | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Robert Hotchkiss | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Shadi Duchesne | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Martha G Smith | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Judy G Figueroa | Nurse Practitioner | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Daniel John Balog | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| John A Pybass | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
| William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
| Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
| James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Find all physicians in zip 29526 | |||
| City | CONWAY |
| Zip Code | 29526 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONWAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan K Mathis.
| 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.