Mary Elizabeth Little (NPI# 1205899382, PAC ID# 8022098367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205899382 |
| PAC ID by PECOS | 8022098367 |
| Professional Enrollment ID | I20040726000641 |
| Full Name | Mary Elizabeth Little |
| Organization Legal Name | SELF MEDICAL GROUP |
| Address |
2605 Kinard St Suite 200 Newberry SC 29108-2965 |
| Phone Number | 8034051900 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| 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 |
| 420053 | NEWBERRY COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 | 8034051900 | 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 |
2605 KINARD ST SUITE 200 |
| City | NEWBERRY |
| State | SC |
| Zip | 29108-2965 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mariah Montana Aden | Physician Assistant | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Katie B Fee | Family Medicine | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Anthony R Timms | Orthopedic Surgery | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Richard M Christian Jr. | Orthopedic Surgery | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Virginia F Wilson | Physician Assistant | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Alan G Robertson | Psychiatry | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Nicole M Clark | Physician Assistant | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Steven Larry Holmes | Family Medicine | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| David Iner Stevens | Physician Assistant | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Susan Bailey Wells | Physician Assistant | Self Medical Group | 2605 Kinard St, Suite 200, Newberry, SC 29108-2965 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara B Layne | Chiropractic | 2218 Wilson Rd, Newberry, SC 29108-1624 | |
| Allison K Gardner | Chiropractic | 3218 College St, Newberry, SC 29108-1638 | |
| Samuel L Johansen | Optometry | 2433 Wilson Rd, Newberry, SC 29108-1644 | |
| Regina Rouse | Nurse Practitioner | Carolina Healthchoice of Newberry, LLC | 2041 Medical Park Dr, Newberry, SC 29108-2249 |
| Emily S Livingston | Nurse Practitioner | Newberry Internal Medicine LLC | 2033 Medical Park Dr, Newberry, SC 29108-2249 |
| Ithamesia Rodgers | Nurse Practitioner | Carolina Healthchoice of Newberry, LLC | 2041 Medical Park Dr, Newberry, SC 29108-2249 |
| Keith Edwin Leap Ii | Emergency Medicine | Newberry County Memorial Hospital | 2669 Kinard St, Newberry, SC 29108-2911 |
| Kelly J Campbell | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Lauren S Holliday | Cardiovascular Disease (cardiology) | Columbia Heart Clinic Pa | 2669 Kinard St, Newberry, SC 29108-2911 |
| James M Caswell | Anesthesiology | Medstream Anesthesia Pllc | 2669 Kinard St, Newberry, SC 29108-2911 |
| Find all physicians in zip 29108 | |||
| City | NEWBERRY |
| Zip Code | 29108 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEWBERRY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mary Elizabeth Little.
| 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.