Charles E Jacocks (NPI# 1720051105, PAC ID# 7416083845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1720051105 |
| PAC ID by PECOS | 7416083845 |
| Professional Enrollment ID | I20100324001206 |
| Full Name | Charles E Jacocks |
| Organization Legal Name | PALMETTO HEALTH TUOMEY |
| Address |
129 N Washington St Sumter SC 29150-4949 |
| Phone Number | 8037749000 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2163728528 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420070 | PALMETTO HEALTH TUOMEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 129 N Washington St, Sumter, SC 29150-4949 | 8037749000 | PALMETTO HEALTH TUOMEY |
| 540 Physicians Ln, Sumter, SC 29150-3370 | LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC |
| Organization Legal Name | PALMETTO HEALTH TUOMEY |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda J Witherspoon | Certified Registered Nurse Anesthetist | Palmetto Health Tuomey | 129 N Washington St, Sumter, SC 29150-4949 |
| Michael Sand | Certified Registered Nurse Anesthetist | Palmetto Health Tuomey | 129 N Washington St, Sumter, SC 29150-4949 |
| Shirley J Houser-stehr | Certified Registered Nurse Anesthetist | Palmetto Health Tuomey | 129 N Washington St, Sumter, SC 29150-4949 |
| Street Address |
129 N WASHINGTON ST |
| City | SUMTER |
| State | SC |
| Zip | 29150-4949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry Anthony Godfrey | Family Medicine | Palmetto Health-university of South Carolina Medical Group | 129 N Washington St, Sumter, SC 29150-4949 |
| Johnny R Chappell | Certified Registered Nurse Anesthetist (crna) | Prisma Health Tuomey | 129 N Washington St, Sumter, SC 29150-4949 |
| Megan Crandall Lybrand | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 129 N Washington St, Sumter, SC 29150-4949 |
| Rebecca L Denson | Anesthesiology | Carolina Anesthesia Inc | 129 N Washington St, Sumter, SC 29150-4949 |
| Chaye N Hertzel | Family Medicine | Palmetto Health-university of South Carolina Medical Group | 129 N Washington St, Sumter, SC 29150-4949 |
| John Dale Rozich | Cardiovascular Disease (cardiology) | Prisma Health Tuomey | 129 N Washington St, Sumter, SC 29150-4949 |
| Anthony W Caballero | Certified Registered Nurse Anesthetist (crna) | Prisma Health Tuomey | 129 N Washington St, Sumter, SC 29150-4949 |
| Valencia Arthiena Patterson | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 129 N Washington St, Sumter, SC 29150-4949 |
| Joseph Cecil Williams | Internal Medicine | Prisma Health Tuomey | 129 N Washington St, Sumter, SC 29150-4949 |
| John J Abbott | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 129 N Washington St, Sumter, SC 29150-4949 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Stacey Kelso | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Karly M Yarnish | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Myra Cooke | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Harry A Jordan Jr. | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| James R Mcmahon | Nurse Practitioner | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Ansel Rose Mcfaddin Iii | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Katherine A Coffey | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Emily J Miller | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Find all physicians in zip 29150 | |||
| City | SUMTER |
| Zip Code | 29150 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SUMTER + 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.