Jason Hennessy (NPI# 1912423757, PAC ID# 6103185103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912423757 |
| PAC ID by PECOS | 6103185103 |
| Professional Enrollment ID | I20180122000072 |
| Full Name | Jason Hennessy |
| Organization Legal Name | REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER |
| Address |
460 Langdon St Spartanburg SC 29302-1614 |
| Phone Number | 8645822817 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022928001 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420043 | MARY BLACK HEALTH SYSTEM GAFFNEY |
| 420007 | SPARTANBURG MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1604 N Limestone St, Gaffney, SC 29340-2312 | 8649021000 | REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER |
| 460 Langdon St, Spartanburg, SC 29302-1614 | 8645822817 | REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER |
| Organization Legal Name | REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Wilkie | Physician Assistant | Regenesis Organization Community Health Center | 460 Langdon St, Spartanburg, SC 29302-1614 |
| Melisa Hammett | Nurse Practitioner | Regenesis Organization Community Health Center | 1604 N Limestone St, Gaffney, SC 29340-2312 |
| Dianna Garrett | Nurse Practitioner | Regenesis Organization Community Health Center | 750 S Church St, Spartanburg, SC 29306-5348 |
| Ernestina French | Family Medicine | Regenesis Organization Community Health Center | 301 Crescent Ave, Spartanburg, SC 29306-4143 |
| Tracy A Shreve | Nurse Practitioner | Regenesis Organization Community Health Center | 220 Irby St, Woodruff, SC 29388-1618 |
| Matthew J Delfino Jr. | Family Medicine | Regenesis Organization Community Health Center | 301 Crescent Ave, Spartanburg, SC 29306-4143 |
| Anita Charie Belue | Nurse Practitioner | Regenesis Organization Community Health Center | 460 Langdon St, Spartanburg, SC 29302-1614 |
| Roland Rogers | Nurse Practitioner | Regenesis Organization Community Health Center | 301 Crescent Ave, Spartanburg, SC 29306-4143 |
| Nicole Marie Segarra | Nurse Practitioner | Regenesis Organization Community Health Center | 460 Langdon St, Spartanburg, SC 29302-1614 |
| Adam T Hammett | Nurse Practitioner | Regenesis Organization Community Health Center | 750 S Church St, Spartanburg, SC 29306-5348 |
| Street Address |
460 LANGDON ST |
| City | SPARTANBURG |
| State | SC |
| Zip | 29302-1614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Wilkie | Physician Assistant | Regenesis Organization Community Health Center | 460 Langdon St, Spartanburg, SC 29302-1614 |
| Anita Charie Belue | Nurse Practitioner | Regenesis Organization Community Health Center | 460 Langdon St, Spartanburg, SC 29302-1614 |
| Nicole Marie Segarra | Nurse Practitioner | Regenesis Organization Community Health Center | 460 Langdon St, Spartanburg, SC 29302-1614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janessa Marie Perez Motlis | Family Medicine | Spartanburg Medical Center | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 |
| Scott A Coley | Family Medicine | Spartanburg Medical Center | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 |
| Vincent Slater | Family Medicine | Spartanburg Medical Center | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 |
| George L Bass | Internal Medicine | Spartanburg Medical Center | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 |
| James C Thompson Jr. | Internal Medicine | Spartanburg Medical Center | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 |
| Edgar M Poole | Optometry | 705 E Main St, Spartanburg, SC 29302-1281 | |
| Margaret S Robertson | Qualified Audiologist | Greer Audiology LLC | 324 E Saint John St, Spartanburg, SC 29302-1505 |
| Jessica Lynn Strzepek | Qualified Audiologist | Greer Audiology LLC | 324 E Saint John St, Spartanburg, SC 29302-1505 |
| Lynda Clark | Qualified Audiologist | Greer Audiology LLC | 324 E Saint John St, Spartanburg, SC 29302-1505 |
| Maggie H Gainey | Clinical Psychologist | 324 E Saint John St, Suite B, Spartanburg, SC 29302-1505 | |
| Find all physicians in zip 29302 | |||
| City | SPARTANBURG |
| Zip Code | 29302 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPARTANBURG + 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.