James M Fuller Jr. (NPI# 1689688301, PAC ID# 6608763065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1689688301 |
| PAC ID by PECOS | 6608763065 |
| Professional Enrollment ID | I20160713002576 |
| Full Name | James M Fuller Jr. |
| Organization Legal Name | SELF MEDICAL GROUP |
| Address |
23013 Hwy 76 E Suite A Clinton SC 29325-7530 |
| Phone Number | 8642276818 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6002953916 |
| Number of Group Practice Members | 274 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420071 | SELF REGIONAL HEALTHCARE |
| 421304 | EDGEFIELD COUNTY HOSPITAL |
| 420038 | GHS LAURENS COUNTY MEMORIAL HOSPITAL |
| 421301 | ABBEVILLE AREA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 23013 Hwy 76 E, Suite A, Clinton, SC 29325-7530 | 8642276818 | SELF MEDICAL GROUP |
| 421 Epting Ave, Greenwood, SC 29646-4041 | 8642276818 | SELF MEDICAL GROUP |
| Organization Legal Name | SELF MEDICAL GROUP |
| Physicians | 246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mariah Montana Aden | Physician Assistant | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Myria Petrou | Diagnostic Radiology | Self Medical Group | 180 Broad St, Apt 1332, Stamford, CT 06901-5000 |
| Sylvia Gyapong | Diagnostic Radiology | Self Medical Group | 11035 Longboat Key Ln, Apt 308, Tampa, FL 33626-2754 |
| Anas Abdel Azim | Vascular Surgery | Self Medical Group | 160 Academy Ave, Greenwood, SC 29646-3808 |
| Varinder Kaur Singh | Family Medicine | Self Medical Group | 207 Holiday Rd, Mc Cormick, SC 29835-3430 |
| Jill Bell Shirley | Nurse Practitioner | Self Medical Group | 105 Vinecrest Ct, Suite 1000, Greenwood, SC 29646-8031 |
| Brian W Gunter | Infectious Disease | Self Medical Group | 104 Liner Dr, Greenwood, SC 29646-2310 |
| John Vincent Maylock | Family Medicine | Self Medical Group | 1228 Hwy 72 W, Greenwood, SC 29649-1816 |
| Kristal Smith Pitts | Nurse Practitioner | Self Medical Group | 421 Epting Ave, Greenwood, SC 29646-4041 |
| Leanna Willis Owings | Nurse Practitioner | Self Medical Group | 102 R L Sawyer Md Dr, Saluda, SC 29138-9199 |
| Street Address |
23013 HWY 76 E SUITE A |
| City | CLINTON |
| State | SC |
| Zip | 29325-7530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Ann Shurling | Obstetrics/gynecology | Greenwood Obstetrics and Gynecology Pa | 23013 Hwy 76 E, Clinton, SC 29325-7530 |
| Megan Renee Wright Nguyen | Obstetrics/gynecology | Greenwood Obstetrics and Gynecology Pa | 23013 Hwy 76 E, Clinton, SC 29325-7530 |
| Amy Y Forrest | Obstetrics/gynecology | Greenwood Obstetrics and Gynecology Pa | 23013 Hwy 76 E, Clinton, SC 29325-7530 |
| Merri Maddox Paden | Obstetrics/gynecology | Greenwood Obstetrics and Gynecology Pa | 23013 Hwy 76 E, Clinton, SC 29325-7530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Griz | Orthopedic Surgery | Palmetto Bone and Joint Pa | 22971 Hwy 76 E, Clinton, SC 29325 |
| Jerett Donald Tozzi | Emergency Medicine | Greenville Health System | 22725 Hwy 76 E, Clinton, SC 29325 |
| Ryan Von Williams | Chiropractic | 209 Musgrove St, Clinton, SC 29325-2347 | |
| Margaret Shreve | Chiropractic | Ryan Clinic LLC | 209 Musgrove St, Clinton, SC 29325-2347 |
| Bernadine Donaldson | Optometry | Macmillan Optical Inc | 118 Musgrove St, Clinton, SC 29325-2350 |
| Wendy Nix | Nurse Practitioner | Ghs Partners In Health Inc | 210 S Broad St, Clinton, SC 29325-2505 |
| Neal Robert Goodbar | Emergency Medicine | Ghs Partners In Health Inc | 210 S Broad St, Clinton, SC 29325-2505 |
| Gill P Thomas | Optometry | 204 E Carolina Ave, Clinton, SC 29325-2523 | |
| George N Pattis | Podiatry | Upstate Podiatry Group Pa | 1073 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Mark D Herndon | General Surgery | Prisma Health University Medical Group | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Find all physicians in zip 29325 | |||
| City | CLINTON |
| Zip Code | 29325 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | CLINTON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.