Otis D Speight (NPI# 1629151550, PAC ID# 5597653352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1629151550 |
| PAC ID by PECOS | 5597653352 |
| Professional Enrollment ID | I20080329000047 |
| Full Name | Otis D Speight |
| Organization Legal Name | AGAPE SENIOR PRIMARY CARE INC |
| Address |
2318 Sunset Blvd West Columbia SC 29169-4716 |
| Phone Number | 8034543510 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6800994807 |
| Number of Group Practice Members | 128 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420007 | SPARTANBURG MEDICAL CENTER |
| 420108 | UNION MEDICAL CENTER |
| 420019 | CHESTER REGIONAL MEDICAL CENTER |
| 420002 | PIEDMONT MEDICAL CENTER |
| 420036 | SPRINGS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 107 Perpetual Sq, Anderson, SC 29621-1713 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| 1061 Gold Hill Rd, Fort Mill, SC 29708-7831 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| 709 Quillen Ave, Fountain Inn, SC 29644-9444 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| 1931 Pelham Rd, Greenville, SC 29615-4002 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| 275 Commonwealth Dr, Greenville, SC 29615-4814 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| 2470 Old Mill Rd, Inman, SC 29349-9276 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| 206 S Gum St, Pageland, SC 29728-2304 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| 1810 Richmond Ave, Port Royal, SC 29935-2015 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| 1920 Ebenezer Rd, Rock Hill, SC 29732-1014 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| 709 Rice Ave Ext, Union, SC 29379-8613 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| 2318 Sunset Blvd, West Columbia, SC 29169-4716 | 8034543510 | AGAPE SENIOR PRIMARY CARE INC |
| 80 Medical Ctr Dr, Woodruff, SC 29388-8781 | 8004910909 | AGAPE SENIOR PRIMARY CARE INC |
| Organization Legal Name | AGAPE SENIOR PRIMARY CARE INC |
| Physicians | 133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| June Clark | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Lawrence K Bennett | Family Medicine | Agape Senior Primary Care Inc | 2306 Riverbank Dr, Orangeburg, SC 29118-4046 |
| Charles Busse | Family Medicine | Agape Senior Primary Care Inc | 910 M Gilead Dr, Suite B 1, Murrells Inlet, SC 29576-7792 |
| Jeffrey D Hook | Internal Medicine | Agape Senior Primary Care Inc | 1614 Main St C, Columbia, SC 29201-2860 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Sophie M Fowler | Nurse Practitioner | Agape Senior Primary Care Inc | 9302 Medical Plaza Dr, Charleston, SC 29406-9142 |
| Patrick K Ryan | Family Medicine | Agape Senior Primary Care Inc | 4600 Oleander Dr C, Myrtle Beach, SC 29577-5897 |
| Erin L Miller | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Tara Madden | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
| Street Address |
2318 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip | 29169-4716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Eo Anderson | Clinical Social Worker | 2318 Sunset Blvd, 2a, West Columbia, SC 29169-4716 | |
| Erin L Miller | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Laura A Mccall | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Kunimi Togashi-ehresmann | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Gregory A Compton | Internal Medicine | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Regina F Holmes | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Michele D Sweet | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Julia S Brown | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Aundrea N Browning | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Ashley Elizabeth Saville | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Matthew Hypes | Ophthalmology | Palmetto Retina Center LLC | 124 Sunset Ct, West Columbia, SC 29169-2429 |
| Elizabeth M Mcmicken | Nurse Practitioner | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Pattie M Farlow | Nurse Practitioner | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| Gwendolyn C Galphin | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| William Andrew Little | Nurse Practitioner | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Swathi Beeravolu | Endocrinology | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| Gayatri Kuraganti | Endocrinology | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| John M Lazaro | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Vijay A Koli | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Brent Michael Powers | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Find all physicians in zip 29169 | |||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WEST COLUMBIA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Otis D Speight.
| 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.