Donnielle Lynn Green (NPI# 1073620530, PAC ID# 6800810375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1073620530 |
| PAC ID by PECOS | 6800810375 |
| Professional Enrollment ID | I20060124000086 |
| Full Name | Donnielle Lynn Green |
| Organization Legal Name | ELITE PATIENT CARE OF SOUTH CAROLINA PC |
| Address |
255 Midland Pkwy Summerville SC 29485-8104 |
| Phone Number | 7372266700 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1951672617 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420002 | PIEDMONT MEDICAL CENTER |
| 420036 | SPRINGS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2530 W Roosevelt Blvd, Monroe, NC 28110-8468 | 7047741703 | INFINITE WELLNESS OF THE CAROLINAS |
| 222 S Herlong Ave, Rock Hill, SC 29732-1158 | 8033291234 | SOUTHEASTERN HOSPITALIST SERVICES, PC |
| 255 Midland Pkwy, Summerville, SC 29485-8104 | 7372266700 | ELITE PATIENT CARE OF SOUTH CAROLINA PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% |
| Organization Legal Name | ELITE PATIENT CARE OF SOUTH CAROLINA PC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melodie G Hanks | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Randi K Popp | Family Medicine | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Alan David Laszczynski | Internal Medicine | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Chrissie M Middleton | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Latisha S Hickson | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Leo Joseph Jesion | Internal Medicine | Elite Patient Care of South Carolina PC | 255 Midland Pkwy, Summerville, SC 29485-8104 |
| Shavon Williams | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Sherrika B Evans | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Antonio Gamboa | Internal Medicine | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Natasha P Stephens | Nurse Practitioner | Elite Patient Care of South Carolina PC | 2375 Baker Hospital Blvd, North Charleston, SC 29405-8233 |
| Street Address |
255 MIDLAND PKWY |
| City | SUMMERVILLE |
| State | SC |
| Zip | 29485-8104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leo Joseph Jesion | Internal Medicine | Elite Patient Care of South Carolina PC | 255 Midland Pkwy, Summerville, SC 29485-8104 |
| Amy B Young | Nurse Practitioner | Elite Patient Care of South Carolina PC | 255 Midland Pkwy, Summerville, SC 29485-8104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn J Gershkowitz | Nurse Practitioner | Equilibrium Endocrinology, Pa | 4340 Ladson Rd, Summerville, SC 29485 |
| Robert Stephen Iannace Jr. | Chiropractic | 1357 Bacons Bridge Rd, Summerville, SC 29485-3335 | |
| Marci H Woods | Nurse Practitioner | Roper Saint Francis Physicians Network | 9500 Dorchester Rd, Suite 362, Summerville, SC 29485-4304 |
| Judith L Hoffman | Clinical Social Worker | 89 B Old Trolley Rd, Suite 209, Summerville, SC 29485-4933 | |
| Christopher John Jones | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Susan S Crocker | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Christine Diane Hamolia | Certified Clinical Nurse Specialist (cns) | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| James C Turn | Chiropractic | Willturn PC | 705 Old Trolley Rd E, Summerville, SC 29485-5212 |
| Thomas Edewaard | Optometry | 705 Old Trolley Rd A, Summerville, SC 29485-5212 | |
| Virginia Chetverikov | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Find all physicians in zip 29485 | |||
| City | SUMMERVILLE |
| Zip Code | 29485 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SUMMERVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Donnielle Lynn Green.
| 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.