Tiffany S Kennedy (NPI# 1275923260, PAC ID# 5496018806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1275923260 |
PAC ID by PECOS | 5496018806 |
Professional Enrollment ID | I20180418000740 |
Full Name | Tiffany S Kennedy |
Organization Legal Name | PIEDMONT PHYSICIAN NETWORK LLC |
Address |
3248 Edgeland Hwy Richburg SC 29729-9478 |
Phone Number | 8037896111 |
Gender | F |
Graduation Year | 2014 |
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 |
---|---|---|
3248 Edgeland Hwy, Richburg, SC 29729-9478 | 8037896111 | 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 |
3248 EDGELAND HWY |
City | RICHBURG |
State | SC |
Zip | 29729-9478 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mehrdad Yousefian | Internal Medicine | Piedmont Physician Network LLC | 3248 Edgeland Hwy, Richburg, SC 29729-9478 |
Name | Specialty | Organization | Address |
---|---|---|---|
Swapna Paladugu | Family Medicine | Carolina Family Care Inc | 3909 Lancaster Hwy, Richburg, SC 29729-9053 |
Hudnall Paschal | Family Medicine | Carolina Family Care Inc | 3909 Lancaster Hwy, Richburg, SC 29729-9053 |
Julie W Bowers | Nurse Practitioner | Carolina Family Care Inc | 3909 Lancaster Hwy, Richburg, SC 29729-9053 |
City | RICHBURG |
Zip Code | 29729 |
Specialty | NURSE PRACTITIONER |
City + Specialty | RICHBURG + NURSE PRACTITIONER |
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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.